Printing - FECA-PT2 - National Association of Letter Carriers

2-0811 EARLY MANAGEMENT OF DISABILITY CLAIMS
TABLE OF CONTENTS
Paragraph and Subject Date Trans. N
Table of Contents 02/02 02-05
1. Purpose and Scope 04/93 93-28
2. Introduction 04/93 93-28
3. Intervention 04/93 93-28
07/97 97-17
4. Initial Case Actions 04/93 93-28
5. Medical Matrices 04/93 93-28
09/95 95-35
6. Mandatory Intervention 04/93 93-28
7. Initial Payments 07/97 97-17
8. Daily Roll Payments 04/93 93-28
9. Periodic Roll Payments 07/97 97-17
10. Dependents 02/02 02-05
11. Second Opinion Examinations 04/93 93-28
12. Continuing Total Disability 04/93 93-28
Exhibits
1 Sample Letter to Claimant Describing
Need for Referee Examination and
Entitlement to Compensation 10/94 95-01
2-0811-1 Purpose and Scope
1. Purpose and Scope. This chapter discusses the early management of accepted disability claims
where there is wage loss. It also touches upon nurse and rehabilitation interventions that are addressed
in Chapter 2-600, Case Management, and the use of medical matrices that are found in Chapter 3-400.
2-0811-2 Introduction
2. Introduction. The effective management of a disability claim requires that a Claims Examiner (CE)
make judgments about the probable course of the case. The CE must periodically assess the medical
evidence to ensure that there is continuing compensable disability, that benefits are being paid consistent
with the extent of compensable disability, that the claimant is receiving suitable medical care, and that the
Office's nurse and rehabilitation services are being used to full advantage. Through periodic assessment,
the CE can gain control of individual claims, and ultimately of an entire case load.
FECA-PT2 Printed: 06/08/2010 362