CLAIMS HANDBOOK - Department of Human Services

BENEFIT RECOVERY (CLAIMS) HANDBOOK
Glossary of Terms Used In Benefit Recovery
Agency Error (AE)
Bankruptcy
Any benefit error not attributed to a customer’s failure to report changes.
Protection of a debtor, via the courts, from debt collection by creditors.
Bankruptcy Discharge The debtor has met the necessary guidelines for Chapter 7 or Chapter 13
and the debt can no longer be collected.
Terminate remaining balances.
Bankruptcy Dismissal
Benefit Error
Benefit Recovery
Claim
Claim File
Claim Status
Collectible Debt
Compromise
Concurrent Disqualification
Date of Disposition
Date of Establishment
Delinquent Debt
Disqualified Recipient
Subsystem (DRS)
Fraud
FTOP
The debtor has not followed the necessary procedures set forth by the
courts. Debts are returned to collection status.
An over or under payment in a monthly benefit to which the customer was
entitled.
The process of identifying, validating, releasing, scheduling and monitoring
claims.
The product of validating and releasing benefit errors.
A physical file containing verification of the validity of the debt. Each debt
owed to the state must have a paper file.
Collection status is active, pending, suspended or closed. An active claim will
accept payments. A pending claim will not accept payments until approved
and scheduled.
A suspended claim will not send a notice of debt or force involuntary
payments. A closed claim is either paid in full or the balance is terminated.
A debt which has been placed into an approved recovery schedule in which
the customer has been notified.
The act of reducing the original balance of a debt when the customer is not
able to pay the entire amount in the time allowed by policy.
Two separate disqualifications that cover a portion of the same period of
time.
The date a claim is completed in SUCCESS. Claims must be completed
within 60 days from the date of establishment.
The date a potential benefit error is identified in SUCCESS (AE.IHE) or the
date of adjudication (IPV)
A claim where a payment has not been posted within a month of the
establishment date or within a month of the last payment date. Payments
must be received and posted monthly.
Federal database used to track individuals IPV disqualified from the FS
program nationwide. Each state is responsible for updating the database as
new IPV disqualifications are imposed.
The commission of an intentional program violation.
SUCCESS format for TOP used to identify 60 day notices sent to AUs.
Rev December ‘10 6