Notice of judgment or settlement (NOJS) - Medicare Compensation Recovery 011-15040100
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Referring a claim to compensation finance
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Case Process actions and Outcomes (Open claims only)
Table 1: use this table to determine desired outcome for processing or claim closure when only 1 Notice of past benefits (NOPB) has been issued.
|
Desired outcome |
Select Close claim on last NOPB |
Select S23A applied |
Select Reprocess SBC |
|
Issue a new NTC |
No |
No |
Not available |
|
Close claim on NOPB |
Yes |
No |
No |
|
Reprocess SBC and issue NOC |
Yes |
No |
Yes |
|
Reprocess SBC and issue NOC with a S23A |
Yes |
Yes |
Yes |
|
Close claim with a S23A to extend an expired NOPB |
Yes |
Yes |
No |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
Not available |
Table 2: use this table to determine the desired outcome for processing or claim closure where more than one Notice of past benefits has been issued previously and there is a mismatch to the ‘From date’ on the most recent NOPB.
|
Desired outcome |
Select Close claim on last NOPB |
Select S23A applied |
Select Reprocess SBC |
|
Issue a new NTC |
No |
No |
No |
|
Close claim on the most recent NOPB |
Yes |
No |
No |
|
Reprocess most recent NOPB (Invalid NOPB) and issue NOC |
Yes |
No |
Yes |
|
Close claim with a S23A to extend an expired NOPB |
Yes |
Yes |
No |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
No |
Table 3: use this table to determine the desired outcome for processing or claim closure when more than one NOPB has been issued previously and there is a mismatch to the ‘From date’ on the previous NOPB.
|
Desired outcome |
Select Close claim on last NOPB |
Select S23A applied |
Select Reprocess SBC |
|
Issue a new NTC |
No |
No |
No |
|
Reprocess most recent NOPB (Invalid NOPB) and issue NOC |
No |
No |
Yes |
|
Close claim with a S23A to extend an expired NOPB |
Yes |
Yes |
No |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
No |