Notice of judgment or settlement (NOJS) - Medicare Compensation Recovery 011-15040100
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Referring a case to compensation finance
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Case Process actions and Outcomes (Open claims only)
Table 1: where Date of illness/injury (DOI) has been amended and only 1 Notice of past benefits (NOPB) has been issued previously.
|
Desired outcome |
Service Officer process decisions |
||
|
Close claim on last NOPB |
S23A Applied |
Reprocess SBC |
|
|
A NOPB is current at DOJS |
|||
|
Close claim on NOPB |
Yes |
No |
No |
|
Close claim on NOPB with a S23A |
Yes |
Yes |
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 issue a $NIL NOC |
No |
Yes |
Not available |
|
Issue a new NTC |
No |
No |
Not available |
|
NOPB issued after DOJS |
|||
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
Not available |
|
Reprocess SBC and issue NOC with a S23A |
Yes |
Yes |
Yes |
|
Close claim with a S23A to issue a $NIL NOC |
Yes |
Yes |
No |
|
Reprocess SBC and issue NOC |
Yes |
No |
Yes |
|
Issue new NTC |
No |
No |
Not available |
|
Expired NOPB |
|||
|
Issue a new NTC |
No |
No |
Not available |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
Not available |
|
Close claim on expired NOPB with S23A |
Yes |
Yes |
No |
|
Reprocess SBC and close claim on amounts included in expired NOPB |
Yes |
Yes |
Yes |
Table 2: where more than one Notice of past benefits has been issued previously and the amended Date of illness/injury (DOI) is a mismatch to the ‘From date’ - Both a most recent and previous NOPB
|
Desired outcome |
Service Officer process decisions |
||
|
Close claim on last NOPB |
S23A applied |
Reprocess SBC |
|
|
Issue a new NTC |
No |
No |
No |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
No |
|
Reprocess Most Recent NOPB (Invalid NOPB) and issue NOC |
Yes |
No |
Yes |
|
Close claim on the Most Previous NOPB |
Yes |
No |
No |
|
Close claim on an expired NOPB extended by S23A (Previous NOPB) |
Yes |
Yes |
No |
Table 3: where more than one NOPB has been issued previously and the amended DOI is a mismatch to the ‘From date’ - On previous NOPB
|
Desired outcome |
Service Officer process decisions |
||
|
Close claim on last NOPB |
S23A applied |
Reprocess SBC |
|
|
Issue a new NTC |
No |
No |
No |
|
Reprocess Most Recent NOPB (Invalid NOPB) and issue NOC |
No |
No |
Yes |
|
Close claim on an expired NOPB extended by S23A (Previous NOPB) |
Yes |
Yes |
No |
|
Close claim with a S23A to issue a $NIL NOC |
No |
Yes |
No |
Table 4: where more than one NOPB has been issued previously and the amended DOI is a mismatch to the ‘From date’ - On most recent NOPB
|
Desired outcome |
Service Officer process decisions |
||
|
Close claim on last NOPB |
S23A applied |
Reprocess SBC |
|
|
Issue a new NTC |
No |
No |
No |
|
Close claim with a S23A (Previous NOPB) to issue a $NIL NOC |
No |
Yes |
No |
|
Close claim on an expired NOPB extended by S23A (Previous NOPB) |
Yes |
Yes |
No |
|
Reprocess Most Recent NOPB (Invalid NOPB) and issue NOC |
Yes |
No |
Yes |