Overview
In This Chapter |
This chapter contains the following topics:
|
1. Basic Components of VBA’s Claim-Processing Model for VSCs
Introduction |
This topic contains information about the claims process, including
|
Change Date |
June 6, 2018
|
III.i.1.1.a. Basic Components of VBA’s Claims-Processing Model for VSCs |
This chapter describes the claim-processing model that the Veterans Benefits Administration (VBA) has implemented in each of its Veterans Service Centers (VSCs). The basic components of this model consist of
Only the Office of Field Operations (OFO) may grant a request for deviation from the model described in this chapter.
References: For more information about
|
2. IPCs
Introduction |
This topic contains information about IPCs, including
|
Change Date |
May 16, 2018
|
III.i.1.2.b. IPC Roles and Responsibilities |
The table below describes the roles and responsibilities in the IPC under the
References: For more information on
|
III.i.1.2.c. Mailroom Responsibilities |
If the VSC is responsible for an RO’s mailroom operations, Mail Clerks within the IPC are responsible for
Important: Under the CM process all
References: For more information about
|
3. Cross-Functional Teams
Introduction |
This topic contains information about cross-functional teams, including
|
Change Date |
June 6, 2018
|
III.i.1.3.c. Assigning and Screening of Claims |
The coach or assistant coach assigns claims to individuals by
Notes:
References: For more information on
|
III.i.1.3.e. Duties of VSRs |
The duties of a VSR include, but are not limited to
Notes:
References: For more information about
|
III.i.1.3.f. Duties of RVSRs |
The duties of an RVSR include, but are not limited to
References: For more information about
|
III.i.1.3.g. Determining Whether a Deferred Rating Decision Is Necessary |
When an RVSR determines additional development is required in order to decide a claim, he/she should collaborate with a VSR on his/her team to determine how long it will take to complete the development.
Examples:
|
4. Appeals Team
Introduction |
This topic contains general information about the Appeals Team, including
|
Change Date |
May 16, 2018
|
III.i.1.4.a.Function and Responsibilities of the Appeals Team |
The primary function of the Appeals Team is the expeditious processing of appeals and remands that do not fall under the jurisdiction of the Appeals Resource Center. Responsibilities include:
Note: Unless specifically exempted, outbound communications (including a statement of the case (SOC) or supplemental statement of the case (SSOC) generated using the legacy SOC/SSOC program) should be added to a package created using the VBMS Package Manager for centralized printing and mailing under the CBCM program.
Reference: For more information on creating packages for centralized printing and distribution under CBCM, see VBA Learning Catalog – Centralized Benefits Communications Management (CBCM) Phase One – Centralized Printing (4415957).
|
III.i.1.4.b. Composition of the Appeals Team |
For the most part, the Appeals Team is a self-contained unit that is composed of essentially the same types of employees as a cross-functional team.
Depending on the size of the VSC, an Appeals Team typically has
Note: As a local option, VSCs may add to an Appeals Team one or more
References: For more information about the duties of
|
III.i.1.4.c. Additional Duties of VSRs on an Appeals Team |
In addition to the responsibilities described in M21-1, Part III, Subpart i, 1.3.e, VSRs on an Appeals Team are also responsible for
Notes:
References: For more information about
|
III.i.1.4.d. Duties of DROs |
See M21-1, Part I, 5.C for information about
|
III.i.1.4.e. Determining Whether a Deferred Rating Decision Is Necessary |
When a DRO determines additional development is required in order to make a decision on an appealed issue, he/she should collaborate with a VSR on his/her team to determine how long it will take to complete the development.
Example: For examples of the circumstances under which a deferred rating decision is and is not necessary, see M21-1, Part III, Subpart i, 1.3.g.
|
5. PCT
Introduction |
This topic contains general information about the PCT, including
|
Change Date |
July 14, 2015
|
III.i.1.5.a.Responsibilities of the PCT |
The PCT is primarily responsible for
Reference: For more information about VAIs and IRIS, see M27-1, Part I, Chapter 6.
|
III.i.1.5.b. Helping Visitors With Benefit-Related Issues |
When an individual visits an RO for the purpose of receiving assistance in filing a claim or requesting an adjustment in a running award, a member of the PCT first meets with the individual in an area that ensures their privacy.
Depending on the individual’s needs and the information/evidence the individual provides to the team member, the team member might take one or more of the following actions:
Notes:
References: For more information on
|
Historical_M21-1MRIII_i_1_7-15-2014.docx | May 8, 2019 | 222 KB |
Transmittal-Sheet-M21-1MRIII_i_2_SecA_TS.docx | May 8, 2019 | 38 KB |
6-6-18_Key-Changes_M21-1III_i_1.docx | May 8, 2019 | 73 KB |
Historical_M21-1III_i_1_5-16-18.docx | May 8, 2019 | 75 KB |
Historical_M21-1III_i_1_1-11-18.docx | May 8, 2019 | 84 KB |
Historical_M21-1III_i_1_3-3-17.docx | May 8, 2019 | 79 KB |
1-11-18_Key-Changes_M21-1III_i_1.docx | May 8, 2019 | 68 KB |
5-16-18_Key-Changes_M21-1III_i_1.docx | May 8, 2019 | 71 KB |
Change-July-14-2015-Transmittal-Sheet-M21-1III_i_1_TS.doc.docx | May 8, 2019 | 40 KB |
in Chapter 1 Structure of the Veterans Service Center (VSC), Part III General Claims Process, Subpart i Overview of Claims Processing and Structure of the Veterans Service Center (VSC)
Related Articles