Use the following chart to determine when to process medical CDRs for Ticketholders.
Obtain this information from the “Ticket Use History” (TKUH) query in the DCF. To
close out the CDR, when appropriate, use standard procedures in DI 13005.020I.
IF
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THEN
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CDR initiated before ticket status was In-Use.
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CDR continues, unless the Ticketholder alleges ticket use begin date is incorrect.
For In-Use begin date investigation, follow instructions DI 55025.010A in this section.
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Ticketholder alleges ticket In-Use.
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FOs or PCs check the DCF to see if CDR closed because of ticket. If contrary to allegation,
the ticket is Not-In-Use and the CDR is open, follow DI 55025.010A in this section.
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ORDES confirms Ticketholder’s allegation of ticket use prior to CDR initiation date.
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ORDES notifies the Ticket Program Manager to change ticket status to “In-Use” and
the system closes out CDR.
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ORDES denies Ticketholder’s allegation of ticket use.
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Process the CDR if the DCF still shows ticket “Not-In-Use”
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CDR not closed and ticket not In-Use.
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FO/PC sends notice of CDR. For copy of notice, see NL 00705.350.
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CDR closed out.
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FO/PC sends the CDR deferral notice. For copy of notice, see NL 00705.355.
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NOTE: If neither the Ticketholder nor provider notifies us that the Ticketholder was receiving
VR or employment support services and a medical CDR determination terminates benefits,
the cessation will stand even if we retroactively assigned the ticket prior to the
date of the determination.