Overview
Introduction
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This section contains the following topics:
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1. Rules-Based Processing of Claims to Add a Dependent
Introduction |
This topic contains information about the rules-based processing of claims to add a dependent, including
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Change Date |
March 28, 2018
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III.i.4.D.1.b. How RBPS Receives Data Necessary to Process a Claim |
RBPS currently accepts only those claims that Veterans submit through eBenefits for additional disability compensation for a dependent.
The table below describes how RBPS receives the data necessary to process this category of claim.
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III.i.4.D.1.c. How RBPS Sorts and Processes Claims |
The table below describes the process that is triggered when a Veteran accesses VDC through eBenefits and submits VA Form 21-686c or VA Form 21-674.
Notes:
Reference: For more information about using VOR, see the VOR Desk Reference.
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III.i.4.D.1.d. Claims That Are Not Eligible for Automated Processing Through RBPS |
The following types of claims are not eligible for automated processing through RBPS:
References: For more information on
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III.i.4.D.1.e. Handling Claims That Are Not Eligible for Automated Processing Through RBPS |
The table below describes the process for handling claims that are not eligible for automated processing through RBPS.
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III.i.4.D.1.f. Handling Claims From a Veteran With a Paper Claims Folder |
If a Veteran has a paper claims folder, then
Reference: For more information about sending documents to a scanning vendor, see M21-1, Part III, Subpart ii, 1.E.2.c.
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III.i.4.D.1.g. Handling Claims With Missing Claim Documents |
Follow the failure-to-upload procedures in M21-1, Part III, Subpart ii, 4.D.6 upon discovering that documents associated with a claim to add a dependent to a beneficiary’s award are not available in the beneficiary’s eFolder.
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III.i.4.D.1.h. Automatic Release of Decision Notices That Reflect a Denial of Entitlement to Additional Benefits |
VA systems automatically release decision notices that reflect a denial of entitlement to additional disability compensation for a dependent when the claimant is a Veteran with a combined disability rating that is less than 30 percent and
Upon release of a decision notice, the system that generated the notice
Reference: For information about rating EPs, see M21-4, Appendix B, Section II.
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Change Date
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March 28, 2018
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III.i.4.D.2.a. VA Contract for Processing Claims for and Correspondence Affecting Entitlement to Benefits for Dependents |
VA has a professional services contract for the processing of certain claims for and correspondence affecting a beneficiary’s entitlement to benefits for dependents.
In combination with RBPS, the professional services contract
Reference: For more information about RBPS, see M21-1, Part III, Subpart i, 4.D.1.
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Historical_M21-1III_i_4_SecD_11-6-15.docx | May 8, 2019 | 49 KB |
3-28-18_Key-Changes_M21-1III_i_4_SecD.docx | May 8, 2019 | 52 KB |
Change-June-26-2015-Transmittal-Sheet-M21-1III_i_4_SecD_TS.docx | May 8, 2019 | 40 KB |
Change-June-26-2015-Transmittal-Sheet-M21-1III_i_4_SecD_TS-1.docx | May 8, 2019 | 40 KB |
11-6-15_Key-Changes_M21-1III_i_4_SecD.docx | May 8, 2019 | 46 KB |
in Chapter 4 Veterans Online Application (VONAPP) Direct Connect (VDC) Program and the Stakeholder Enterprise Portal (SEP), Part III General Claims Process, Subpart i Overview of Claims Processing and Structure of the Veterans Service Center (VSC)
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