Printing - FECA-PT2 - National Association of Letter Carriers

names and addresses is optional. By entry of these addresses into the system, the
CE is able to pull them into correspondence as needed.
2-0401-5 Status Changes
5. Status Changes. The Case Management System contains a pair of two-character code fields for
recording the status of the case file. Adjudication status codes are used to record acceptances and denials
of benefits, and case or pay status codes are used to track the level of payments authorized on a case.
CEs and claims supervisors have sole responsibility for ensuring that these codes are kept accurate and
current. Since office performance is largely measured by the dates these codes are assigned and by the
proportion of cases in various statuses to total cases in the office, the integrity of code use is extremely
important.
2-0401-6 Definitions of Adjudication Status Codes
6. Definitions of Adjudication Status Codes. With the exception of noncontroverted no-time-lost
cases discussed in paragraph 8, the adjudication status code field may not be filled until the initial
acceptance or denial of the case by the responsible CE. Assignment of any of the codes beginning with
"D" should reflect a formal decision with appeal rights.
Eighteen (18) two-character adjudication status codes are available in the system. Brief definitions are
given below.
Acceptances
AM: Condition accepted as compensable. If open, entitlement to medical benefits only.
AL: Condition accepted and some period of disability supported by medical evidence. Leave elected or
used awaiting decision.
AC: Condition accepted as compensable; some period of entitlement to continue pay accepted.
AD: Condition accepted as compensable; some period of entitlement to compensation is or was
accepted; not being placed on periodic roll.
AP: Condition accepted as compensable; is or was entitled to compensation on the periodic roll.
AF: Death accepted as work-related; some beneficiary is or was entitled to benefits.
AT: Condition accepted as work-related but claimant entitled only to medical benefits.
AO: Case previously approved; no benefits payable. May be used to identify a case with a third party
credit being absorbed in conjunction with MC case status.
Denials—Any denial code prevents entry of payment data in the automated compensation payment
system.
DO: Disallowed pending.
D1: Denied as not timely filed, without entitlement to medical benefits (use AT for pre-1974 cases where
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