CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
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BENEFIT RECOVERY (<strong>CLAIMS</strong>) <strong>HANDBOOK</strong><br />
SUCCESS <strong>CLAIMS</strong> CODES<br />
All TANF and FS claims begin as potential overpayments (OPs). When scheduled and SUCCESS as valid debts with<br />
a recovery schedule, they become collectible claims.<br />
There are three kinds <strong>of</strong> claims: AE Agency Error<br />
IHE Inadvertent Household Error<br />
IPV Intentional Program Violation<br />
All actions taken on claims are reflected in SUCCESS by the following codes:<br />
Non-fraud (AE, IHE) claim types:<br />
Fraud (IPV) claim types:<br />
U Agency Error<br />
C Inadvertent Household Error<br />
E Established in Error<br />
S Suspected Fraud (For OPIC use)<br />
A Waiver <strong>of</strong> Disqualification Hearing<br />
D Disqualification Hearing Decision<br />
F Criminal Prosecution (Indictment) – Pay to Court (Probation Office)<br />
L Consent Agreement – Pay to County<br />
P Criminal Prosecution (Indictment) – Pay to County (For future use)<br />
Z Disaster Fraud<br />
Claim status may be: IE In Error – Will not allow posting. Do not use if ANY payment posted.<br />
OP Open – Scheduled for automatic recoupment (Grant Reduction)<br />
OV Over-Collected – Requires return <strong>of</strong> payment unless balance<br />
transferred or EBT Expungement<br />
PA Pending Supervisory approval - Will not recoup or allow posting<br />
PD Paid in Full<br />
PI Pending - Underpayment held on Inactive TANF AU#<br />
PP Pending Schedule – Will not recoup or allow posting<br />
PS Pending Supervisor approval <strong>of</strong> schedule – Will not recoup or allow<br />
posting<br />
RP Closed – Scheduled for manual recoupment, Case closed or another<br />
claim in OP status<br />
SB Suspended – Bankruptcy (For future use)<br />
SU Suspended – No system collection allowed, No notices mailed<br />
TM Terminated manually<br />
TT Terminated and transferred – claim moved to another AU #<br />
TW Terminated with system write-<strong>of</strong>f (balance < $1.00)<br />
Recovery mode may be: F Active Case, Formula based recoupment<br />
A Active Case, Recoupment above Formula based<br />
M Closed Case, Manual Payments<br />
Recovery codes: + Accounting code to increase balance (cannot exceed original balance)<br />
- Accounting code to decrease balance<br />
B Back-out <strong>of</strong> a payment<br />
C Correction <strong>of</strong> a payment within a program<br />
D State Income Tax intercept<br />
E Active EBT benefits<br />
F Returned FS Coupons as payment (Obsolete)<br />
G Grant reduction<br />
I TOP (Federal Benefit intercept)<br />
M Compromise balance<br />
N Payment received by State Office<br />
P Cash payment received / posted by county <strong>of</strong>fice<br />
R Cash refund<br />
S Stale EBT benefit<br />
T Expunged Disaster benefits<br />
U Underpayment <strong>of</strong>fset<br />
W Write <strong>of</strong>f balance (Original balance – Compromise balance)<br />
X Payment due to correction<br />
Y Cash received by county <strong>of</strong>fice from court<br />
Z Expunged EBT benefits<br />
Rev December ‘10 56