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**tidbit**-Claims Development Info

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harleyman

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I thought I would share the following which explains why files bounce around sometimes. This is just an FYI - Harleyman

TIDBIT: Who ever touches the file LAST, is the person charged with an error against them, if there is an error in the file. So if an RVSR makes a mistake and the person processing the RVSRs decision, misses the mistake, and the award is processed with an error by mistake, the person who processed the decision is charged with an error. The fact is the mistake is charged to the last person who touched the file. In ths case it would be the VSR who processed the award, not the RVSR who made an error in the decision.

That is why you see files go in and out of development and ready for decision, and authorization, back and forth as issues are found not developed properly, or a decision, is not written correctly, or records were suppose to be requested but weren't. Tons of reasons to return files for corrections. No one wants errors, and have their job standard showing quality problems, just to be put on a PIP (performance improvement plan". So usually back and forth movement of a file is good as it means things are being researched and errors corrected,- IMO

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Your input is definitely appreciated to us that are newly educated with the whole claims process. I'm glad to have had one of my friends tell me about this site and to be able to get answers to my questions as well as pass along the info and knowledge I pick up here.....thanks Harleyman

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reminds me of when I worked at sears,, they made everything our responsibility. but gave us no AUTHOTATIE/.

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Harley could this be why they put " a rater in training " to handle my file, because it is so screwed up,? Do they give raters in training free fugup passes? kind of a manufactured fall guy? I would think that as complicated as my claims are, the top banana should have been working on my claim.

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I have a question here when a decision was made by the BVA and stated a decision was made and a copy of this decision was mailed to you and your VSR do your VAR call you about this decision,but when checked E-bene it stated that appeal pendingso can anyone tell me what this means

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