Claim Information

Use this process to manually enter new claims into the VaCMS.

Process Steps:

The Claim Information page displays.

In the Case Information section:

- Enter the Case # (required).
- Enter the EDG # (required).
- Select the Program from the dropdown menu (required).
- Select the Claim Type from the dropdown menu (required).
- Select the Claim Name from the dropdown menu (required).

In the Claim Information section:

- Enter the Discovery Date (required).
- Select Discovery Source from the dropdown menu (required).
- Select Claim Status from the dropdown menu (required).
- Select the Current FIPS from the dropdown menu.
- Select the Overpayment reason (required).
- Enter the Claim Amount.

Claim Amount is only enabled when the Claim Type is Vendor Error and program is EAP

OR

A court order date has been entered;

Otherwise, calculated using the Overpayment Detail pages..

- Enter Claim Begin Month.
- Enter Claim End Month (required when Overpayment Reason is Trafficking).
- Enter Court Order Date (only enabled when claim type is IPV).
- Enter Pay Through information (enabled and required when Court Order Date is entered).
- Enter comments (optional but required if Discovery Source is Other).

In the Last Updates section:
- No action needed.

In the Delinquency Information section:
- Review fields.
In the Repayment Agreement Information section (enabled when Repayment Agreement is selected from the Change Reason dropdown menu) :
- Enter the Repayment Agreement Received Date.
- Enter the date of the most recently sent demand letter in the Demand Letter Sent date field.
- Enter the Payment Due Date.
- Enter the Subsequent Due Date.
- Enter the collection method the customer agreed to use to repay the claim in the Collection Method field.
- Enter the amount the customer agreed to pay in the Amount Agreed to Pay field.
- Enter the percentage the customer chose for the allotment reduction in the Higher Percentage Agreed to Pay field.
- Select Yes or No from the Recoup from Initial Month dropdown menu to indicate if the initial benefit month will be recouped.
- Select Yes or No from the Demand letter was returned in the mail dropdown menu to indicate if the demand letter was returned in the mail.
Click Save + Continue.

Results of the Procedure:

The process to manually enter claims is initiated.

Updated 04/25/2016