SHBE

Currently, there are 0 users and 1 guest visiting this topic.
Viewing 5 posts - 1 through 5 (of 5 total)
  • Author
    Posts
  • #286601
    Colin Adams
    Participant

    Hi,

    I am working on this month’s extract. We have a claim which was registered as ineligible on the last month’s extract so has already been recorded.

    The ineligible indicator was removed but then reapplied because the claimant failed to provide the required information.

    Should this claim therefore be included in this month’s extract as well so in effect be recorded last month and this month? Should the outcome be counted twice?

    Thank you,

    Colin

    #286602
    helevans
    Participant

    Hello – it would have recorded the first time as a new decision – by ineligible I am assuming unsuccessful or defective?

    If you’ve since had a revision request for the claim then this wouldn’t show again as a new claim but rather as a revision/appeal as a P record. If the claim remains unsuccessful or defective then it should just be that P record, or if it becomes successful or effective then there will be corresponding records (C, D, S)

    • This reply was modified 3 months, 2 weeks ago by helevans.
    #286604
    Colin Adams
    Participant

    Thank you; it now shows as a C record so what earliest calculation date would you use?

    #286625
    helevans
    Participant

    So there should be a C record to show that the claim was unsuccessful from the first decision made. Field 35 should show the date the claim was received; Field 37 the date the first decision was made (so your unsuccessful decision); Field 39 with the outcome. Field 202 will then show probably the same date as Field 37 as the date of the unsuccessful claim with the reason in Field 210; Field 220 will then show the treated as made date.

    The above is all from the first decision.

    If your claimant then asked for it to be reconsidered then you should have a P record for the revision/appeal. Fields 259 with the date of the request; Field 260 with the date they were notified of the decision.

    Another C record should then only appear if there was a new claim made with dates different to the above, but, the same decision was achieved.

    If the award was then made successful on either claim you’d have a D record to that effect, as well as the P record.

    #286631
    Colin Adams
    Participant

    Thank you Hel Evans.

Viewing 5 posts - 1 through 5 (of 5 total)
  • You must be logged in to reply to this topic.