CLAIMS HANDBOOK - Department of Human Services

BENEFIT RECOVERY (CLAIMS) HANDBOOK
CLAIM STATUS CODES
The status of a claim appears on the claims status screen (CLMS). The claim status can
be viewed by accessing RMEN-D and can be changed by accessing RMEN-E. The
SUCCESS claim status codes indicate whether a claim is pending, active, suspended or
closed. The codes are:
Pending claim status codes:
PA
PP
PS
PI
Pending supervisory approval of a claim.
Pending an established schedule.
Pending supervisor approval of schedule / Pending OPIC adjudication (Type S).
Pending underpayment for inactive TANF AU. Underpayment is released when case
becomes active again. Consult your TANF Program Specialist or the policy manual
for additional information.
Active claim status codes:
OP
RP
SB
SU
Open for benefit reduction – Only one claim per program should be open at any
given time.
Ready to process. Manual payments, tax intercepts and offsets are allowed. A
claim may be in RP status when a case is closed or when another claim attached to
an active case in is OP status.
Reserved for future use.
Suspend from collection. The code suspends all collection activities and delinquent
debt notices to the AU.
Closed claim status codes:
IE
OV
PD
TM
TT
TW
Claim in error/invalid for collection. The status code cannot be changed and the
claim cannot be reopened.
Over-collected claim. The claim is considered paid in full with a negative balance.
The over-collected amount must be posted as a payment on another debt or
restored to the customer. Over-collection due to EBT expungement is not restored
to the customer but is used to reduce another debt balance in the same program.
Paid in full.
Terminated manually.
Terminated and transferred. Claim has been moved to another AU number.
Terminated with write-off of less than $1.00. Claim is considered paid in full. System
assigned code.
Claim files are purged 3 years after date of closure unless there has not been a
fiscal audit since the closure date.
Rev December ‘10 16