Identification Number:
DI 52165 TN 2
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Interactive Computations Facility (ICF) for Workers Compensation/Public Disability Benefit (WC/PDB) Computations
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part DI – Disability Insurance
Chapter 521 – Workers' Compensation/Public Disability Benefit (WC/PDB) Offset
Subchapter 65 – Interactive Computations Facility (ICF) for Workers' Compensation/Public Disability Benefit (WC/PDB) Computations
Transmittal No. 2, 02/21/2020

Audience

PSC: BA, CA, DS, IES, PETE, RECONR, SCPS;
OCO-OEIO: BIES, BTE, CR, CTE, ERE, FCR, PETL, RECONE, RECONR, RECOVR;
OCO-ODO: BTE, CR, CST, CTE, CTE TE, PAS, PETE, PETL, RCOVTA, RECONE, RECOVR;
FO/TSC: CS, CS TII, CS TXVI, CSR, CTE, OA, OS, TA, TSC-CSR;

Originating Component

OISP

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure.

Summary of Changes

DI 52165.015 Deleting Workers’ Compensation/Public Disability Benefits (WC/PDB) Data through Interactive Computations Facility (ICF)

Introductory Paragraph

Added "old and immaterial" to clarify current policy.

DI 52165.015 Deleting Workers’ Compensation/Public Disability Benefits (WC/PDB) Data through Interactive Computations Facility (ICF)

Use ICF function #32 to delete old and immaterial or erroneous WC/PDB data that appears on the Master Beneficiary Record (MBR).

A. When to delete WC/PDB data

  • A pending WC/PDB claim is denied and there is no appeal filed.

  • All WC/PDB payments are repaid due to a third party settlement.

  • WC/PDB data is added erroneously to the MBR when WC/PDB was never an issue.

B. How to process a deletion of WC/PDB data from the MBR

Deleting WC/PDB data requires an ICF input. It is similar to the process for adding or changing existing WC/PDB data. Any processing limitation that occurs requires BA/BTE action and a MACADE input.

  1. 1. 

    Enter function #32 and when you reach the WCPA screen verify that T2 share data is present.

    • If T2 share data is present, proceed to step 2.

    • If T2 share data is not present, create a shared data record using #34 OREO. The WC/PDB data entered into Online Record Entry Operation (OREO) can be adjudicated to create shared data. Actions adjudicated through OREO will not post to the MBR unless a subsequent MACADE action is made, so your input will remain only in ICF. After T2 shared data is present re-enter function #32.

  2. 2. 

    On the WCPA screen, enter the start date that is present on the MBR on the WCPDBOFF line. Choose propagation from the “Adjudicate Record”.

  3. 3. 

    Complete the WCGI screen.

  4. 4. 

    On the WCCL the claim information equivalent to that shown on the MBR should be propagated to you. Enter “Y” in delete field.

  5. 5. 

    Enter to the WCAO screen. The “type” should show as “DL” indicating the deletion.

  6. 6. 

    If payments have not changed, do not send a notice. On the WCEP screen ENB block code “N.” If payments are changing, take appropriate notice action to explain the change.

  7. 7. 

    Adjudicate your action.

  8. 8. 

    Review the MBR the following day to verify that all WC/PDB information has been removed. Exceptions or limitations will be completed by a BA/BTE with a MACADE action.

C. Reference

DI 52165.010 How to Complete ICF WC/PDB Screens


DI 52165 TN 2 - Interactive Computations Facility (ICF) for Workers Compensation/Public Disability Benefit (WC/PDB) Computations - 2/21/2020