Chapter 3-0100 Introduction

TABLE OF CONTENTS

Paragraph and Subject Page Date Trans. No.

Chapter 3-0100 Introduction

Table of Contents. . . . . . . i 01/10 10-07

1 Purpose and Scope. . . . . . . 1 01/10 10-07

2 Structure of Part 3. . . . . . 1 01/10 10-07

3 Reference Materials. . . . . . 1 01/10 10-07

1. Purpose and Scope. Part 3 describes the policies and procedures related to the financial aspects of claims under the EEOICPA. Topics include bills for medical care and ancillary medical expenses; tort offset; state workers’ compensation coordination; compensation for beneficiaries in disability and death cases; verifying continued entitlement to benefits; and overpayments.

Claims staff and fiscal officers are jointly involved in fiscal actions, and a medical bill processing agent is responsible for processing all medical bills.

2. Structure of Part 3.

a. Medical Bills. PM 3-0200 addresses medical bill processing in general, while PM 3-0300 addresses entitlement to and payment for ancillary medical services.

b. Payments and Offsets. PM 3-0400 discusses lawsuits and the effects of recovery from them on payments of benefits under EEOICPA, while PM 3-0500 addresses state workers’ compensation benefits and the effect of their receipt on EEOICPA benefits.

PM 3-0600 discusses payment of compensation, to include exception processing of payments to terminal claimants; while PM 3-0700 describes the requirements for verifying continued entitlement to medical benefits.

c. Overpayments. PM 3-0800 provides an overview of the overpayment process and describes the actions taken when an overpayment is identified. PM 3-0900 addresses the debt collection process.

3. Reference Materials. A list of references available to staff is shown in EEOICPA PM 2-0100.