GLPSC-DPB uses the MIDAS legacy system to process all claims, both CEFs and modular
disability folders, except for electronic disability collection system (EDCS) exclusion
cases. For dual eligibility railroad (RR) claims adjudicated using the MIDAS legacy
system, the following notices are available:
Document
|
Type
|
Description
|
Initial Claims
|
“I” paragraphs
|
|
L442
|
I71
|
RRB CC DENIAL
|
L443
|
I72
|
RRB T2 DENIAL
|
L443
|
I73
|
RRB T2 20/40 DENIAL*
|
L444
|
I74
|
RRB T16 DENIAL
|
PDN
|
I75
|
RRB FREEZE ALLOWANCE**
|
Reconsideration
|
“R” paragraphs
|
|
PDN
|
R71
|
RRB CC RECON DENIAL
|
L976
|
R72
|
RRB T2 RECON DENIAL
|
L1130
|
R73
|
RRB T16 RECON DENIAL
|
Continuing Disability
|
“C” paragraphs
|
|
L1013
|
C05
|
T2 CONTINUANCE
|
PDN
|
C01
|
T2 CESSATION
|
PDN
|
C06
|
T16 CESSATION
|
PDN
|
C12
|
T16 CONTINUANCE
|
PDN
|
C20
|
T2 CESSATION DWB
|
PDN
|
C21
|
T2 CESSATION AUX
|
* Use the RRB T2 20/40 DENIAL notice for dual eligibility medical denials when the
NH does not meet the insured status requirements for cash disability insurance benefits
(DIB). Do not use the RRB T2 20/40 DENIAL notice for joint freeze 20/40 cases, since
joint freeze cases are paper cases and are not processed using MIDAS. See DI 44005.000 for joint freeze cases.
**Use the RRB FREEZE ALLOWANCE notice for dual eligibility disability allowances where
the NH does not meet the insured status requirements for cash DIB benefits, but has
been awarded a period of disability freeze.