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Digits to Digits (D2D) February 2014

Digits to Digits (D2D) February 2014. Overview . GOAL. Department of Veterans Affairs . Veterans Service Organizations . The Current Situation. 60 % of Veterans Service Organizations (VSOs) have invested in their own Claims Management Systems (CMS) to manage claims. The Challenge.

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Digits to Digits (D2D) February 2014

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  1. Digits to Digits (D2D) February 2014

  2. Overview GOAL Department of Veterans Affairs Veterans Service Organizations

  3. The Current Situation 60% of Veterans Service Organizations (VSOs) have invested in their own Claims Management Systems (CMS) to manage claims.

  4. The Challenge Currently VSOs using their own CMS to prepare claims have to print out all forms and mail to the proper VBA Regional Office (RO) Paper claims take longer to process than electronic claims Regional Office

  5. The Solution Digits-to-Digits(D2D) will provide direct machine-to-machine interaction for a VSOs CSM to submit claims directly into the Veterans Benefits Management System (VBMS) VSO Regional Office VSO Claims Management System (CMS)

  6. How is D2D Different from eBenefits and the Stakeholder Enterprise Portal (SEP) …and the claim gets processed through …then use If you are a…

  7. How D2D Works Submit Form D2D Services Submit Attachments VA ELECTRONIC GATEWAY Check Status Receipt VSO Regional Office Confirm Submission Validation Orchestration VETERANS EFOLDER VSO Claims Management System (CMS) VA FORM 21-22 VA FORM 21-526EZ

  8. Release 1 Scope of D2D Allows Submission of Supporting Documents for FDC in Portable Document Format (PDF) Accept Fully Developed Claim (FDC) Support PDF of other VA Forms D2D Services Allows Submission of Claims for Veterans in Corporate System Receipt Validation Notifications Delivered to Veterans when VA Receives FDC and Supporting Documents Computable Data will Include Compensation Claim and Power of Attorney Orchestration VA FORM 21-22 VA FORM 21-526EZ

  9. Release 1 D2D Business Logic Scenarios Submit through D2D Confirmation of VA’s receipt Confirmation of VA’s receipt First submit the 21-22, wait for confirmation of VAs receipt, then submit 526ez and supporting documentation Submit 526ez Confirmation of VA’s receipt Confirmation of VA’s receipt Veteran Service Office creates a claim within their own Claims Management System Submit a Fully Developed Claim (FDC) on behalf of Veteran Submit claims successfully for Veterans that exist in the VA database Organization that does not have Power Of Attorney Organization with POA Submit claim with required documents VSO submits FDC and supporting documents on behalf of Veteran

  10. SEP and D2D Comparison D2D SEP Submit supporting documents Claim Status Submit 526ez, 21-22 Payment History Monitor claims in the VSO Work Queue Submit applications (686c/674, 0781/0781a, 8940) Prepare 526ez applications Chat Co-Browse Support *Fully Integrated 526ez (future) *DBQ generation (future) * View of VBMS via SEP (future)

  11. Release 2 Scope of D2D Expands document upload limit County VSO (CVSO) to submit a claim within D2D so a VSO can review, finalize, and submit – with or without POA Submit all forms as computable data D2D Services VA notification system to VSOs when there is something to review within D2D Receipt Validation CVSO submit 526EZ form without 21-22 form the system notifies RO of 526EZ without 21-22 (electronic receipt) Orchestration VA FORM 21-22 VA FORM 21-526EZ

  12. Release 2 D2D Business Logic Scenarios Confirmation of VA’s receipt Confirmation of VA’s receipt Confirmation of VA’s receipt Submit FDC’s with added forms that will be sent as computable data Organization without POA: 21-22 or 526ez can be sent in any order Submit claim on behalf of any Veteran

  13. Where is the Project Today D2D began pilot testing in June 2013: Eight pilot participants include AMVETS and the States of California, Georgia, Illinois, Kansas, Kentucky, Tennessee, and Virginia AMVETS, California, Georgia, Kansas, Kentucky and Virginia have successfully completed network and application connectivity in VA’s development and test environments Kansas, Georgia, Tennessee, VFW and Kentucky have successfully completed network connectivity response service in April. The remaining VSO pilot organizations, Illinois and California, will follow

  14. VBA Goals • Since February 2013, over 1,300 VSOs have registered with SEP. • By the end of FY14, the goal is to have over 2,000 registered VSOs. • Since the 526ez went electronic, more than 49,139 claims have been submitted electronically. • Goal by FY14 is to have 2,000+ claims submitted per week. • By the end of 2014, as D2D goes live, it is projected that more than 1,000 claims per week will be submitted.

  15. Questions

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