POMS Reference

DI 52155: Initial Claims with Workers' Compensation/Public Disability Benefit (WC/PDB)

BASIC (09-08)

When the number holder (NH) files for disability benefits and WC/PDB is involved, make every attempt to process auxiliary claims in the same MCS segment as the NH. This makes MCS EC processing more promising for the auxiliary claims and reduces the likelihood of overpayment or underpayment to NH and auxiliaries.

NOTE: Review the policy in GN 01010.140 for processing delayed claims. The WC/PDB screens completed for the NH provide all required information to complete an offset determination for the auxiliaries.

If it is necessary to process an auxiliary award after the award for the NH is processed to the MBR, follow the instructions in DI 52140.001J.

Review the WC/PDB offset data provided by MCS EC. For information on the WC/PDB results in MCS EC, see DI 52155.010.