BASIC (09-08)

DI 52155.005 Initial Claims and Appeals Requiring Diary Control for Workers’ Compensation/Public Disability Benefit (WC/PDB)

Always consider diary control for initial claims and appeals with WC/PDB involvement. The diary code is 042.

A. When to use diary code 042

  • WC/PDB is involved but payments are not being made.

  • An appeal on the WC/PDB claim has been filed and pending a decision.

B. MCS systems generated diaries

MCS will establish a Diary Code 042 based on entries on the WPCL screen. Diary code 042 is generated when:

  • INTEND-TO-FILE equals Y or

  • WC/PDB CLAIM PENDING equals Y or

  • CLAIM DENIED equals Y and APPEAL PENDING equals Y or

  • PERIODIC PAYMENTS AWARDED equals Y and “APPEAL PENDING equals Y or

  • LUMP SUM AWARDED equals Y and APPEAL PENDING equals Y

C. Establishing diary control

Field office (FO) diary instructions are in DI 52140.001 - Field Office Responsibilities for Workers’ Compensation/Public Disability Benefit (WC/PDB) Offset, DI 52140.001H - Establishing Diary Control for WC/PDB in the Field Office (FO).

Processing center (PC) instructions are in DI 52140.010 - Processing Center (PC) Responsibilities for Workers’ Compensation/Public Disability Benefit (WC/PDB) Offset, DI 52140.010D - Establishing Diary Control in the Processing Center (PC).


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0452155005
DI 52155.005 - Initial Claims and Appeals Requiring Diary Control for Workers' Compensation/Public Disability Benefit (WC/PDB) - 11/12/2009
Batch run: 11/13/2009
Rev:11/12/2009