defective claims

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  • #23053
    fionacowan
    Participant

    We just came across this scenario yesterday, maybe somebody out there already has an answer.

    We have a combined HB/CTB form. A claim is received for CTB/HB – the HB claim is for as private tenency, it comes in with all info needed to process CTB, but no proof of rent. CTB is processed and proof of rent written out for and a month given to reply.
    At the end of the month no information has been received and the HB is therefore a defective claim.

    Can we, with a combined claim form, assess benefit for ctb but make hb defective? Or should the whole claim form be treated as defective and neither part assessed unless all info requested on the form is received?

    thanks, fiona

    #10703
    Anonymous
    Guest

    As CTB and HB are separate benefits I don’t think it matters that they are on the same claim form. You have all the info you need in relation to CTB and have processed it. The defective rules are the same regardless of what form the application is received on. I would pay CTB and make HB defective.

    #10704
    Mikeb2
    Participant

    I’d have to agree with Will.

    seems the sensible thing to do… 😉

    Although you will have to be wary that the claimant has not vacated and that is the reason for no response re rent proof… 😯

    #10705
    Andy Shanks
    Participant

    We would pay the CTB + make the HB ‘defective’ as everything else was there apart from the rent proof and we use a joint form

    #10706
    fionacowan
    Participant

    does anybody use Northgate? any idea how to make one part defective?

    #10707
    Simo
    Participant

    we use northgate and would make an adverse inference on the rent. Cannot put zero so would have to put in 1p. The system will calc as nil qualifier and include within stats 124.

    #10708
    fionacowan
    Participant

    thanks Simo –

    Does this not cause the claim to show up in th ewrong cell for 124’s – do you manually amend them? Do you have the all info received box set to y or n in these cases?

    #10709
    fionacowan
    Participant

    thanks Simo –

    Does this not cause the claim to show up in th ewrong cell for 124’s – do you manually amend them? Do you have the all info received box set to y or n in these cases?

    #10710
    Simo
    Participant

    We set the all info to N on the Hb side which results in claim being counted in line 2b – unsuccessful claims without all info which i believe to be correct where adverse inferences are being made.

    #10711
    fionacowan
    Participant

    i agree with the cell for claims where an adverse inference has been made but should we be making adverse inferences where the info was asked for on the form, is readily available, but is just not supplied.

    I’m wondering if it’s something which should be logged with sx3.

    #10712
    fionacowan
    Participant

    i agree with the cell for claims where an adverse inference has been made but should we be making adverse inferences where the info was asked for on the form, is readily available, but is just not supplied.

    I’m wondering if it’s something which should be logged with sx3.

    #10713
    fionacowan
    Participant

    Hi – for anybody who’s interested I did log this with sx3 and got the following reply.

    Fiona,

    You can do this, you need to calculate the defective period first, then amend the income value and calculate the other period. However you need to be aware that someone could calculate the defective period later, so it is probably best to end the defective period as well removing the chance of this occurring.

    I hope this helps

    #10714
    Darren W
    Participant

    [quote:92e3ea71a3=”fionacowan”]Hi – for anybody who’s interested I did log this with sx3 and got the following reply.

    Fiona,

    You can do this, you need to calculate the defective period first, then amend the income value and calculate the other period. However you need to be aware that someone could calculate the defective period later, so it is probably best to end the defective period as well removing the chance of this occurring.

    I hope this helps[/quote:92e3ea71a3]

    Normall Northgate answer. You would not know that the HB side was deffective until after you had assessed the CTB side. Thus to do what they say you would have to end the CTB side, make the HB side defective, then recalculate the CTB side.

    When all you would need is two more STATS_NQ codes one that only nil entitled HB and one that only nil entitled CTB.

    #10715
    fionacowan
    Participant

    you’ll be able to do as northgate advises by pending the already calc’d ctb, calc’ing the defective hb and allowing the defective part to nil overnight by running rbe501, then take off the stats_nq code.

    #10716
    Simo
    Participant

    i think we’ll stick with making an adverse inference and treating as an effective claim.

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