Reinstated Defective claim – treat as ‘new claim’ or ‘cofc’?

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  • #21922
    alijones5866
    Participant

    Where a new claim has been treated as ‘defective’ as relevant information was not provided. If that information is then provided within the one month appeal period and they have given a good reason as to why they were late responding; when the claim is reinstated using the original application form, should the claim be assessed as a ‘new claim’ or a ‘change in circumstances’ for stats purposes, as the original defective claim has already been counted once?
    I’m getting a little confused, as the training notes we received from our software provider state that “if the claimant rectifies the defective claim within the appeal period this must be treated as a further new claim for statistical purposes”.
    However, I’ve been reading through circular A13/2009 and Appendix 4 No. 5 states “should the decision on the claim be ‘revised’ with the revised decision that the claim should have been successful, it will be treated as a change event and recorded in HB/CTB Field 254 under Option 12 – Outcome of appeal/reconsideration/revision’. The revision to the claim will not count towards the indiciator”.
    I’m not sure if the previous parargraph only covers a claim that has been assessed awarding ‘nil’ entitlement, or if it covers a ‘defective’ claim also.
    Any advice you can give me will be much appreciated, before I contact the software provider and make a fool of myself!!

    #6054
    jmembery
    Participant

    The decision that the claimant was not entitled to benefit as their claim was defective is the origional decision. You have now revised that decision.

    It is NOT a further new claim.

    #6055
    alijones5866
    Participant

    Great, thanks for your response. That’s the answer I was hoping for.

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