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Claims Flowing Throuigh The Va, We Need A Chart.

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Guest jstacy

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Guest jstacy

We need to gather information and put it together, I would be happy to summarize it.

What we need for the vets at Hadit is a process flow for a claim. The VARO must have one for I believe it is required. for example. Recipt of claim. where does it go, then next, next, next, and so on and so on.

This way a vet can ask the VA where a claim is and look the information up and determine what stage the claim is in in being adjuducated.

Any ideas are appreciated.

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  • HadIt.com Elder

This is really nice; but I agree; lots of variables. maybe we can have simple "guide" chart (What to expect) then a more detailed (Possible Variables). My old military office was shy about printing, thinking printed matter = "official policy". Idea, - Hadit probably Hold Harmless Disclaimer on each page?cg out on the range

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jstacy,

It is simplified if you make it so. All you need to do is break down the main tasks as to what happens when a claim is received at VA and who gets it and where it goes from there towards a claim decision. For example below:

b. The VSC Teams The table below describes the functions of the six specialized VSC teams that comprise a typical VSC Organization.

Team Functions

Triage • reviews and controls all mail, and

• processes actions which can be completed without the claim folder, or which may require brief review of the claim folder to verify eligibility

Pre-Determination • develops for evidence for rating issues, and

• prepares administrative decisions

Rating makes decisions on claims that require consideration of medical evidence

Post- Determination • develops for evidence for non-rating issues

• processes awards, and

• notifies claimants of decisions

Appeals handles decisions with which claimants have formally disagreed

Public Contact handles personal interviews and telephone inquiries

Reference: For information on the VSC Organization use at the Pension Maintenance Centers, see M21-1MR, Part V, Subchapter iv, 1.3.

It starts with Triage, then Post -Determination team, then Post Determination Team, and if necessary Appeals Team. Public contact team handles personal interviews and telephone inquiries.

Not complicated at all. 5 item flow chart. Use the information in the Service Center Policy, not verbatum, use what you need and put it in laymans language.

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