DI 52155: Initial Claims with Workers' Compensation/Public Disability Benefit (WC/PDB)
Always consider diary control for initial claims and appeals with WC/PDB involvement. The diary code is 042.
A. When to use diary code 042
WC/PDB is involved but payments are not being made.
An appeal on the WC/PDB claim has been filed and pending a decision.
B. MCS systems generated diaries
MCS will establish a Diary Code 042 based on entries on the WPCL screen. Diary code 042 is generated when:
INTEND-TO-FILE equals Y or
WC/PDB CLAIM PENDING equals Y or
CLAIM DENIED equals Y and APPEAL PENDING equals Y or
PERIODIC PAYMENTS AWARDED equals Y and “APPEAL PENDING equals Y or
LUMP SUM AWARDED equals Y and APPEAL PENDING equals Y
C. Establishing diary control
Field office (FO) diary instructions are in DI 52140.001 - Field Office Responsibilities for Workers’ Compensation/Public Disability Benefit (WC/PDB) Offset, DI 52140.001H - Establishing Diary Control for WC/PDB in the Field Office (FO).
Processing center (PC) instructions are in DI 52140.010 - Processing Center (PC) Responsibilities for Workers’ Compensation/Public Disability Benefit (WC/PDB) Offset, DI 52140.010D - Establishing Diary Control in the Processing Center (PC).