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Printing - FECA-PT2 - United States Department of Labor

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authorized attorneys and other legal representatives is required; entry <strong>of</strong> other<br />

names and addresses is optional. By entry <strong>of</strong> these addresses into the system, the<br />

CE is able to pull them into correspondence as needed.<br />

2-0401-5 Status Changes<br />

5. Status Changes. The Case Management System contains a pair <strong>of</strong> two-character<br />

code fields for recording the status <strong>of</strong> the case file. Adjudication status codes are used to<br />

record acceptances and denials <strong>of</strong> benefits, and case or pay status codes are used to track<br />

the level <strong>of</strong> payments authorized on a case. CEs and claims supervisors have sole<br />

responsibility for ensuring that these codes are kept accurate and current. Since <strong>of</strong>fice<br />

performance is largely measured by the dates these codes are assigned and by the<br />

proportion <strong>of</strong> cases in various statuses to total cases in the <strong>of</strong>fice, the integrity <strong>of</strong> code use<br />

is extremely important.<br />

2-0401-6 Definitions <strong>of</strong> Adjudication Status Codes<br />

6. Definitions <strong>of</strong> Adjudication Status Codes. With the exception <strong>of</strong> noncontroverted<br />

no-time-lost cases discussed in paragraph 8, the adjudication status code field may not be<br />

filled until the initial acceptance or denial <strong>of</strong> the case by the responsible CE. Assignment <strong>of</strong><br />

any <strong>of</strong> the codes beginning with "D" should reflect a formal decision with appeal rights.<br />

Eighteen (18) two-character adjudication status codes are available in the system. Brief<br />

definitions are given below.<br />

Acceptances<br />

AM: Condition accepted as compensable. If open, entitlement to medical benefits only.<br />

AL: Condition accepted and some period <strong>of</strong> disability supported by medical evidence.<br />

Leave elected or used awaiting decision.<br />

AC: Condition accepted as compensable; some period <strong>of</strong> entitlement to continue pay<br />

accepted.<br />

AD: Condition accepted as compensable; some period <strong>of</strong> entitlement to compensation is<br />

or was accepted; not being placed on periodic roll.<br />

AP: Condition accepted as compensable; is or was entitled to compensation on the<br />

periodic roll.<br />

AF: Death accepted as work-related; some beneficiary is or was entitled to benefits.<br />

AT: Condition accepted as work-related but claimant entitled only to medical benefits.<br />

AO: Case previously approved; no benefits payable. May be used to identify a case with<br />

a third party credit being absorbed in conjunction with MC case status.<br />

Denials—Any denial code prevents entry <strong>of</strong> payment data in the automated compensation<br />

payment system.

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