Updated Apr 26, 2023
In This Section |
This section contains the following topics:
|
1. Introduction to the VDC Program
Introduction |
This topic contains information about VDC claims, including
|
Change Date |
January 20, 2022 |
II.iii.4.A.1.b. VDC Interview Process |
VDC utilizes a question-and-answer interview-style interface to guide the claimant in completing forms approved by VA. The interview process limits omissions and misinterpretations of information requested from the Veteran for adjudicating a claim.
Currently, VDC contains an interview process for the forms listed below.
In addition to these forms, claimants may upload five supporting documents.
Notes:
References: For more information on
|
II.iii.4.A.1.c. Identifying VDC Claims |
VDC claims are identifiable through a special issue flash and claim labels. Upon establishment of a claim, the VDC process affixes the special issue flash VONAPP Direct Connect under the first listed contention. Additionally, VDC uses claim labels beginning with the term eBenefits.
The table below lists the VDC claim labels with corresponding end product (EP) series.
Notes:
References: For more information on
|
2. VDC Rating Claims Intake
Introduction |
This topic contains information regarding intake of rating claims submitted through VDC, including
|
Change Date |
February 9, 2021
|
II.iii.4.A.2.a. Workload Management for VDC Claims |
NWQ will distribute newly established VDC rating claims to regional offices (ROs) for processing. The RO in receipt of the rating EP to process will be responsible for consolidating any incremental VDC claims that have been established under an EP 400, following the instructions in M21-1, Part II, Subpart iii, 4.A.2.e.
|
II.iii.4.A.2.b. Review of VDC Claims |
Upon receipt of the claim in the Veterans Benefits Management System (VBMS) work queue, the claims processor reviews the original and any incremental claims by taking the steps outlined in the table below.
Note: For historical information on VDC Application Initiation and Dropped Evidence Reviews, see the attachment Historical_M21-1III_i_4_SecC_9-21-17.docx.
References: For more information on
|
II.iii.4.A.2.c. VBMS Exclusions on VDC Claims |
VDC does not screen claims to determine if they meet VBMS claims processing criteria. If VDC establishes a claim in VBMS that is an exclusion identified in M21-1, Part II, Subpart iii, 3.A.1, process the claim using legacy systems as needed and upload legacy system-generated documents to the electronic claims folder (eFolder).
|
II.iii.4.A.2.e.
|
If a 400 series EP is established by VDC, the contention and evidence submitted with that subsequent submission must be consolidated into the pending primary VDC claim. The incremental EPs must be reconciled by the claims processor assigned to work the primary VDC claim using the table below.
Note: Certain scenarios involving the VDC Dropped Evidence Review may have required specific actions to maintain proper EP control. Historical information regarding these actions is located in the attachment, Historical_M21-1III_i_4_SecC_9-21-17.docx.
|
II.iii.4.A.2.f. Pre-Discharge Claims Received Through VDC |
VDC accepts pre-discharge claims (excluding IDES claims).
Reference: For more information on initial actions on receipt of an electronic pre-discharge claim, see M21-1, Part X, Subpart i, 6.B.3.l.
|
3. Determining the DOC and Effective Date for VDC Claims
Introduction |
This topic contains information regarding the determination of the DOC and effective date for VDC claims, including
|
Change Date |
February 9, 2021
|
II.iii.4.A.3.b. DOC for VDC Claims |
Upon submission, VDC automatically establishes the EP with the date of claim (DOC) matching the submission date.
|
4. Applications From VA Claims Submission Service Websites
Introduction |
This topic contains information about applications received from VA claims submission service websites, including |
Change Date |
April 26, 2023
|
II.iii.4.A.4.a. General Description of the VA.gov Application Process |
The VA.gov claims submission service website (formerly available at Vets.gov) allows claimants to file initial claims for compensation, (such as a new claim for compensation or for an increased evaluation of a service-connected disability), supplemental claims for compensation benefits, Veterans Pension, and burial benefits via electronic submission of the following forms:
The claimant can upload documents with the application. Any information that exceeds the character limits of the field on the application will be presented on a separate page at the end of the application and identified by a field number.
The table below provides details on how the various claims applications are processed through the VA.gov submission process.
References: For more information on
|
II.iii.4.A.4.b. Identifying Claims Submitted Through VA Claims Submission Service Websites |
VA.gov will assign applications claim attributes based on the claim type.
Use the table below to assist with identifying applications submitted via VA.gov.
Important: The actual date of VA receipt of the application is based on the VA.gov or Vets.gov electronic date stamp and not the CM date stamp.
Reference: For more information on VBMS document properties, see the VBMS Core User Guide.
|
II.iii.4.A.4.c. Development When PMRs Are Identified During the Compensation Application Process |
When a Veteran identifies private medical records (PMRs) related to the compensation claim and provides the information required by the forms, VA.gov will generate completed VA Forms 21-4242, Authorization to Disclose Information to the Department of Veterans Affairs (VA), and 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA). The completed forms will then be automatically routed to the PMR contractor to obtain the medical records on VA’s behalf, as discussed in M21-1, Part III, Subpart ii, 3.2.
Important:
|
II.iii.4.A.4.d. Compensation ITFs and Claims Submission Service Websites |
VA.gov will generate an intent to file (ITF) when a Veteran initiates and saves an initial compensation application or a supplemental claim for compensation benefits.
Reference: For more information on ITFs, see
|