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Updated Mar 31, 2023


In This Section

 
This section contains the following topics:
 
 

1.  Overview of the Initial Mail Screening Process


Introduction

 
This topic provides an overview of the initial mail screening process, including

Change Date

 
August 30, 2018

II.i.2.A.1.a.  Purpose of Initial Mail Screening

 
The purpose of initial mail screening is to review all incoming applications, correspondence, and evidence to determine if a claim
  • warrants priority processing because of its nature or facts
  • is submitted with evidence that requires review by the rating activity
  • is incomplete and requires further development, or
  • warrants denial.
References:  For more information on

II.i.2.A.1.b.  Overview of the Screening Process and Mail Flow

 
The table below provides an overview of the screening process.
 
Stage
Description
1
Review all incoming material to determine whether it is
  • a claim or evidence in support of a claim
  • an issue in the correct jurisdiction, or
  • not a claim.
2
Depending on the nature of the material, determine whether it is necessary to
  • obtain additional evidence
  • refer the issue to another location or activity, or
  • dispose of the issue.
3
Take the appropriate action.
 
References:  For more information on

2.  Process for Conducting a Routine Check of Complete Claims


Introduction

 
This topic contains information about conducting a routine check of original claims, including

Change Date

 
June 16, 2020

II.i.2.A.2.a.  Responsibilities of the IPC or the Development Activity Upon Receipt of a Claim or Legacy Appeal

 
Responsibilities of the IPC or the development activity include
  • ensuring the claim or legacy appeal is substantially complete
  • verifying that basic eligibility exists
  • processing all submitted documents properly, and
  • updating the records using
    • the Share corporate database
    • the Veterans Benefits Management System (VBMS)
    • Modern Awards Processing – Development
    • the Veterans Appeals Control and Locator System (VACOLS), and/or
    • Caseflow.
Reference:  For more information on substantially complete claims, see

II.i.2.A.2.b.  Determining the Benefit Sought and Type of Claim

 
Follow the steps in the table below to determine the type of claim.
 
Step
Action
1
Determine the type of benefit the claimant seeks, based on
  • the type of application the claimant submitted
  • information the claimant provided on the application, and
  • any other supporting evidence the claimant submitted.
Note:  All new claims submitted on or after March 24, 2015, must be filed on a standard Department of Veterans Affairs (VA) application form.
 
Reference:  For a list of application forms claimants must use to file a claim, see M21-1, Part II, Subpart iii, 1.A.
2
Since a claim for one benefit can also be a claim for other benefits, consider entitlement to other benefits, if applicable.
3
  • Once the type of claim has been determined, ensure the proper end product (EP) has been established.
  • Change the EP and/or claim label, or establish a new one, in VBMS or Share, if necessary.
Reference:  For more information on proper EPs, see M21-4, Appendix B.
 

II.i.2.A.2.c.  Checking for the Proper Signature

 
A complete claim for any type of benefit must be signed by the
  • claimant
  • parent or guardian of a minor, or
  • fiduciary of a claimant who is incompetent.
Exceptions:
  • An authorized representative may prepare and submit certain non-original claims on behalf of the claimant without the claimant’s signature as noted in M21-1, Part I, Subpart i, 2.A.4.b.
  • An alternate signer may sign a claim on behalf of the claimant in certain situations as discussed in M21-1, Part II, Subpart i, 2.B.3.
Important:
  • VA accepts signatures on applications that are photocopied or faxed.
  • VA waives the signature requirement when a claim is filed electronically by the claimant through a VA claims-submission service website.
References:  For more information on

II.i.2.A.2.d.  Processing On-Line Applications Without a Signature

 
While normal development procedures and rules of evidence apply to on-line application claims, the signature requirement for a substantially complete claim is set aside when a claim is filed electronically through an on-line application.
 
The table below summarizes the steps for processing an on-line application for benefits that a claimant submits electronically.
 
Step
Action
1
Review the application to ensure it is substantially complete.
2
Establish the appropriate EP.  The date of claim (DOC) is electronically printed in the upper corner of the on-line application.
 
Important:  Applications received from a VA claims-submission service website can be identified by several attributes as discussed in M21-1, Part II, Subpart iii, 4.A.
3
Initiate development action by reviewing the claims folder to
  • determine what evidence is necessary to support the claim, and
  • request the evidence from the claimant.
Exception:  Claims may be submitted by powers of attorney through the Stakeholder Enterprise Portal (SEP) and do not require a signature.  However, original claims submitted through SEP involve additional claimant signature requirements to be substantially complete.
 
Reference:  For more information on claims for compensation submitted through SEP, including additional signature requirements for original claims, see M21-1, Part II, Subpart iii, 4.B.2.

II.i.2.A.2.e.  Checking for Basic Eligibility to the Benefit Sought

 
Consider the basic criteria for eligibility to the benefit sought.
 
Example:  If the claim is for pension, consider whether or not the Veteran has sufficient wartime service or if the income and net worth are within limits.
 
Reference:  For more information on VA benefit programs, see M21-1, Part I, Subpart ii, 2.

II.i.2.A.2.f.  Checking for COD

 
If the discharge document shows service that was not honorable, general, or under honorable conditions, review the claims folder for an administrative decision on the character of discharge (COD) or bar to benefits.
 
Use the table below to determine VA policies for reviewing the claims folder for an administrative decision.
 
If …
Then …
a decision has not been made
  • an unfavorable COD or statutory bar decision was made
  • the decision is valid under current regulations, and
  • entitlement to health care was not addressed in the decision
  • consider whether or not entitlement exists to the 38 U.S.C. 1710 health care provision of Public Law 95-126, enacted October 8, 1977, and
  • complete a rating decision for record purposes only to include the new information.
Note:  Only the Chapter 17 statement may be added to an old decision as a rating decision for record purposes.  All other revisions require a new decision.
  • an unfavorable decision has already been made, but there have been legislative or regulatory changes affecting the reason for the original unfavorable decision, or
  • the claimant filed a supplemental claim with new and relevant evidence after the first decision was made
prepare a new decision, adding information to address any
  • new laws that may apply, or
  • evidence submitted.
Note:  Provide the claimant 60 days to furnish additional evidence before finalizing an unfavorable decision.
 
Reference:  For information on the requirement for advance notice, see M21-1, Part X, Subpart iv, 1.A.1.
 

II.i.2.A.2.g. Checking for Service Verification

 
Service verification can be accomplished in various ways.
 
Reference:  For more information on verifying service and COD, see M21-1, Part III, Subpart i, 1.B.

II.i.2.A.2.h.  Checking for Blank Spaces on the Application or Insufficient Information

 
If a claimant omits necessary information on an application, determine if it is substantially complete.
 
References:  For more information on

II.i.2.A.2.i.  Checking for Acceptable Dependency Information

 
The table below shows the submission requirements for establishing dependents.
 
If the claim for dependents was received …
Dependency may be established by a(n) …
prior to March 24, 2015
  • written statement from a claimant for marital or dependency status if sufficient information is provided, including the
    • month, year, and place of the event (i.e., birth, marriage, adoption)
    • full name and relationship of the other person
    • Social Security number of the person, and
    • in cases in which the dependent child does not reside with the claimant, the name and address of the person having custody of the child, or
  • original document such as a marriage certificate, or a copy of an original document.  If the copy does not appear genuine and free from alteration, the copy must be certified by
    • a public custodian of records
    • any VA employee who is authorized to administer oaths
    • certain representatives of Veterans service organizations
    • certain military personnel, or
    • certain officials of approved educational institutions.
on or after March 24, 2015
VA standard form as part of an original application for benefits or on dependency forms including VA Forms 21-686c, Application Request to Add and/or Remove Dependents, and 21-674, Request for Approval of School Attendance.
 
Note:  Fields left blank on the application can be considered none as long as sufficient information is present to establish dependency.
 
References:  For more information on

3.  Screening Subsequent Claims for Pending Appeals


Introduction

 
This topic describes screening and processing subsequent claims that may be duplicative of a pending appeal, including

Change Date

 
March 31, 2023

II.i.2.A.3.a.  Screening Subsequent Claims for Pending Appeals

 
Always check for pending appeals when screening subsequent claims.
 
Identify pending
  • notices of disagreement at the Board of Veterans’ Appeals (BVA) by checking Caseflow, and
  • legacy appeals by checking for a
    • 070 or 170 series EP under the CLAIMS tab in VBMS and reviewing the contentions, or
    • searching VACOLS and reviewing the ISSUES screen.
Note:  As of July 30, 2021, VA must accept a supplemental claim for an issue that is also pending before a Federal court.  This includes cases before the U.S. District Courts, the U.S. Court of Appeals for Veterans Claims, and the U.S. Supreme Court.  BVA does not fall under this definition of a Federal court and is excluded.
 
References:  For more information on

II.i.2.A.3.b.  Processing Claims That Are Duplicative of a Legacy or BVA Appeal

 
When a claimed contention is an exact match for an issue under a legacy or BVA appeal, consider the contention duplicative of the legacy or BVA appeal and follow the procedures outlined in M21-1, Part II, Subpart i, 2.A.3.c to notify the claimant the issue will be processed under the pending appeal.
 
When a claimed contention is not an exact match of an issue under appeal, establish a claim for the contention in accordance with M21-1, Part II, Subpart iii, 3.A.
 
Reference:  For more information on determining if a legacy appeal is duplicative, see M21-5, Chapter 6, Section B.

II.i.2.A.3.c.  Informing the Claimant That a Claimed Contention Is Already on Appeal

 
Upon discovery that a claimed contention is duplicative of a pending legacy or BVA appeal, notify the claimant that the issue will be processed as part of the pending appeal.
 
Follow the steps in the table below to generate a letter informing the claimant of a duplicative contention.
 
Stage
Description
1
Create a Claim Already on Appeal Letter.
2
Adjust the criteria in the brackets to match the facts found in the claim form.
3
Send the letter to the claimant.
4
Associate a copy of the letter with the claims folder.
5
If an issue on appeal was added as a contention in VBMS under a rating EP, delete the contention.
6
If the contention referenced in Step 5 is
  • the only claimed contention,
    • change the rating EP (if previously established) to an EP 400, and
    • clear the EP 400, or
  • not the only claimed contention, clear an EP 400.
Reference:  For more information on determining if a legacy appeal is duplicative, see M21-5, Chapter 6, Section B.

4.  Individual and Group Responsibilities for Division Mail Management


Introduction

 
This topic describes mail management, including

Change Date

 
September 30, 2010

II.i.2.A.4.a.  Importance of Effective Mail Management

 
Effective mail management is crucial to the success and control of workflow.

II.i.2.A.4.b.  Individual and Group Responsibilities

 
The table below describes the individual and group responsibilities for establishing and following procedures for division mail management and control.
 
Individual or Group
Responsibilities
Veterans Service Center (VSC) or pension management center (PMC), IPC coach
  • maintains a copy of the Mail Routing Guide
  • reviews the guide at least once a year to ensure it is current, and
  • designates at least one central point where VSC or PMC employees can deliver outgoing mail.
Note:  To eliminate unnecessary handling, the point of delivery for outgoing mail should also serve as the point of delivery for incoming mail.
VSC Manager or PMC Manager
  • establishes explicit regional office (RO) delivery procedures for all categories of mail, and
  • ensures that procedures appear in the RO’s Mail Routing Guide.
Reference:  For more information on official VA mail procedures, see
Administrative Support Services Division
establishes local procedures for movement of all mail, including
  • delivery of incoming mail, and
  • pickup of outgoing mail.
 

5.  IPC CM Screening and Processing Functions


Introduction

 
This topic provides an overview of IPC screening and processing functions in the CM portal, including

Change Date

 
March 31, 2023

II.i.2.A.5.a.  Super User Mail-Processing Role in the CM Portal

 
The IPC Super User
  • reviews and distributes all mail in the CM portal
  • notifies the IPC supervisor if mail containing Federal tax information (FTI) is discovered in the CM portal
  • routes mail to work queues based on a first in, first out (FIFO) received date
  • mentors Basic Users
  • provides guidance to Basic Users on processing complex mail, and
  • if applicable, processes the more complex cases.
Important:
  • Super Users should not prescreen mail before distributing it to work queues.
  • All users must process mail based on FIFO principles.
Notes:
  • In the CM portal, only Super Users can transfer mail to another RO’s CM queue.
  • IPC supervisors provide direction to non-supervisory Super Users on the amount of mail Super Users distribute to basic users.
Reference:  For more information on the role of the Super User in CM, see the Centralized Mail Portal User Manual.

II.i.2.A.5.b.  Basic User Mail-Processing Role in the CM Portal

 
The Basic User
  • screens mail assigned to the user’s work queue
  • notifies the Super User and/or IPC supervisor if mail containing FTI is discovered in the CM portal
  • establishes new claims or legacy appeals, including
    • entering contentions
    • sending Section 5103 notices (when applicable)
    • assigning claims to the appropriate segmented lane, and
    • routing paper claims folders to scanning vendors for conversion (when necessary)
  • makes necessary system updates for currently pending claims, including
    • updating the claim-level suspense, and
    • managing evidence/tracked items
  • updates claimant information in all applicable VA systems, and
  • uploads the mail into the appropriate electronic claims folder (eFolder) in VBMS or sends it to the appropriate business line.
Note:  Routing of paper claims folders to scanning vendors is not necessary when the claim may be worked without claims-folder review.  For example, claims for additional compensation for dependents eFolder are generally decided without claims-folder review.
 
References:  For more information on

II.i.2.A.5.c.  Processing Mail in CM

 
Follow the steps in the table below when processing mail in CM.
 
Step
Action
1
Is the mail for a business line other than Compensation Service or Pension and Fiduciary Service?
  • If yes,
  • If no, go to the next step.
2
Is the mail related to a pending claim, higher-level review, or legacy appeal, or does it represent late-flowing mail that was submitted in response to development of a recently adjudicated claim or legacy appeal?
Note:  To answer the question posed in this step, check all applicable claims-processing systems, including
  • VBMS
  • VACOLS, and
  • Caseflow.
3
Does the mail involve a claim that falls under the jurisdiction of a restricted access claims center (RACC) because the claimant is a Veterans Benefits Administration (VBA) employee-Veteran, a relative of an employee, an employee or relative of a Veterans service organization, or other restricted record-designee as defined in M21-1, Part II, Subpart ii, 2.B?
  • If yes, go to the next step.
  • If no, go to Step 6.
4
Does the mail represent a claim or legacy appeal that is subject to National Work Queue (NWQ) routing?
  • If yes,
    • activate the Restricted Access corporate flash
    • ensure access to the corresponding VA record is restricted by assigning one of the sensitivity levels described in M21-1, Part II, Subpart ii, 2.B, and
    • go to the next step.
  • If no, go to the next step.
Important:  ROs must request assistance from their NWQ point of contact when transferring a claim if they are unable to activate the Restricted Access corporate flash because VA has already assigned one of the sensitivity levels described in M21-1, Part II, Subpart ii, 2.B.
 
References:  For more information on
5
Transfer the mail to the appropriate RACC queue (St. Paul RACC, Milwaukee RACC, or San Diego RACC) and take no further action.
 
Notes:
  • System access settings prevent most RO employees from updating VA’s systems to reflect the receipt of evidence or information included in mail that a RACC must ultimately process.
  • RACC development letters include a coversheet that recipients are instructed to place on top of mail they send to VA.  Use of the coversheet in this manner facilitates automatic routing of the mail to the appropriate RACC queue.
  • To avoid improper routing in the CM portal, Public Contact Team personnel accepting mail from VBA employee-Veterans must use the appropriate coversheet from the RACC Cover Sheets site.
Reference:  For more information on RACC jurisdiction, see M21-1, Part II, Subpart ii, 2.B.
6
Does the mail represent material that a PMC must review/process?
  • If yes,
    • use the map below to determine the PMC with jurisdiction
    • transfer the mail to the appropriate PMC queue, and
    • take no further action.
map of the US with PMC jurisdiction
  • If no, go to the next step.
7
Does the mail represent a new compensation-related claim, or does it include a VA Form 10182, Decision Review Request:  Board Appeal (Notice of Disagreement), or VA Form 9, Appeal to Board of Veterans’ Appeals?
  • If yes, go to the next step.
  • If no, go to Step 12.
8
Will the RO that received the mail retain jurisdiction?
  • If yes, go to the next step.
  • If no, go to Step 11.
Important:
  • ROs may not transfer claims (rating or non-rating), legacy appeals, or work items, to include mail received in the CM portal, to another RO solely because the claimant resides within another RO’s geographical jurisdiction.  ROs may transfer a claim to another RO only if the
    • claimant has requested a personal hearing
    • claimant is a homeless Veteran, or
    • claim is a “special mission claim” that a specific RO must process.
9
Does the mail represent a claim?
10
Upload the mail into the appropriate eFolder and disregard the remaining steps in this table.
11
Follow the instructions in the table below.
 
If the claim, legacy notice of disagreement (NOD), or VA Form 9 …
Then…
  • requires a formal legacy appeal or pre-decisional hearing, or
  • pertains to a homeless Veteran
  • establish the EP in the appropriate claims-processing or appeals-management system
  • broker the EP to the RO with geographic jurisdiction based on the claimant’s or appellant’s place of residence, and
  • take no further action.
  • involves special mission issues with exclusive jurisdiction, or
  • involves exceptions to general policy for claims folder jurisdiction
  • determine jurisdiction by following the guidance found in M21-1, Part II, Subpart ii, 3
  • transfer the mail to the proper RO’s queue, and
  • take no further action.
 
12
Does the mail represent a fiduciary matter?
  • If yes, refer the incoming fiduciary-related mail, correspondence, or documents via the CM portal to the fiduciary hub (hub) of jurisdiction unless the PMC or VSC is authorized to take action on the mail as provided in M21-1, Part X, Subpart ii, 6.E.1.d.
  • If no, go to the next step.
Important:
  • Do not update the contact or direct deposit information when the beneficiary has a fiduciary or change the beneficiary’s name when a beneficiary is assigned a spouse fiduciary.
  • Follow the guidance in M21-1, Part II, Subpart iii, 3.B.1.d, to notify the hub of jurisdiction when a
    • valid change of contact or direct deposit information is received for a beneficiary that has a fiduciary, or
    • beneficiary is assigned a spouse fiduciary and a request to change the beneficiary’s name is received.
References:  For more information on
13
Does a review of the mail reveal that no action is needed?
  • If yes,
    • treat the mail as “file mail” or “drop mail,” and
    • upload the mail into the appropriate eFolder.
  • If no,
    • take all necessary actions (such as processing an intent to file (ITF) a claim, changing an address, updating the POA, and so on), and
    • upload the mail into the appropriate eFolder.
Note:  Effective March 24, 2015, new claims/legacy appeals must be filed on a fully completed, prescribed VA form.
 
 

II.i.2.A.5.d.  Processing Solicited and Unsolicited Mail

 
Solicited and unsolicited mail refers to mail submitted in association with development of a claim or legacy appeal.
 
Note:  New legacy NODs and perfected legacy appeals (VA Form 9) are not types of solicited or unsolicited mail.  M21-1, Part II, Subpart i, 2.A.5.c describes the proper procedure for handling new and perfected legacy appeals and other types of mail.
 
When processing solicited or unsolicited mail, update VBMS according to instructions in the following table.
 
Step
Action
1
Does the solicited or unsolicited mail pertain to a pending EP?
  • If yes, go to the next step.
  • If no, determine whether the mail requires hub action as provided in Step 12 of the table found in M21-1, Part II, Subpart i, 2.A.5.c.  If hub action
2
Does the mail represent evidence requested and documented by a tracked item?
  • If yes, go to the next step (the mail is considered solicited).
  • If no, go to Step 4 (the mail is considered unsolicited).
3
  • Update the tracked item RECEIVED field with the date of receipt of the mail
  • select the SAVE button
  • upload the mail into the appropriate eFolder in VBMS, and
  • take no further action.
Example:
Screenshot of Updating the tracked item RECEIVED field with the date of receipt of the evidence
4
Update the MANAGING EVIDENCE screen to reflect the mail VA received under the ADD UNSOLICITED tab.
 
 Examples:
Screenshot of Updating the MANAGING EVIDENCE screen with the evidence received
Screenshot of Updating the MANAGING EVIDENCE screen with the evidence received under the ADD UNSOLICITED tab
5
  • Add any new contentions by selecting ADD CONTENTIONS on the CONTENTIONS LIST tab
  • upload the mail into the appropriate eFolder in VBMS, and
  • take no further action.
Example:
Screenshot of Adding any new contentions by selecting ADD CONTENTIONS on the contentions screen
Notes:
  • Remember to include the DOC (date of receipt of new contention) for each contention.
  • Do not change the segmented lane already assigned unless there is a new special issue or special operations contention.
6
Check VACOLS to determine whether an appeal is pending.
 
Does the mail pertain to a pending legacy appeal?
  • If yes,
    • update VBMS to reflect receipt of the mail, as outlined in Step 4
    • upload the mail into the appropriate eFolder in VBMS, and
    • go to Step 8.
  • If no, go to the next step.
Reference:  For more information on using VACOLS, see the VACOLS User Guide.
7
Is an EP 930 warranted (does the mail relate to a claim VA already decided, and did VA receive the mail before it decided the claim)?
  • If yes, establish an EP 930 in the appropriate claim system and go back to Step 4.
  • If no,
    • treat the mail as a request for an application, and
    • disregard the remaining step in this table.
Note:  Use the appropriate claim label to differentiate between a rating and non-rating EP 930.
 
References:  For more information on
8
Is the appeal under the jurisdiction of BVA?
  • If yes, send the mail to the re-route queue (a Super User will reassign the mail to BVA in the CM portal).
  • If no, take no further action.
 
Reference:  For more information on processing CM, see the user manuals and other guides on the CM webpage.