1. 1 ACS-DOL Bill Automated Adjustments Process for FECA Claimants 2010 Systematic Recoupment of overpayment

2. 2 Table of Contents What is the new process? p. 3 What is the new process? How will the change affect me as a claimant?p. 4 How will the change affect me as a claimant? What is considered an adjustment request? p. 5 What is considered an adjustment request? How do I request an adjustment? p. 6 How do I request an adjustment? When can I expect a response after submitting a request? p. 7 When can I expect a response after submitting a request? Systematic Recoupment of Overpaymentsp. 9 Systematic Recoupment of Overpayments Payment p.18 Payment Refund p.21 Refund What if I have not received payment?p.22 What if I have not received payment? Appendix A: Definitions p.23 Appendix A: Definitions Appendix B: FAQ page for easy access and printing p.24 Appendix B: FAQ page for easy access and printing Appendix C: Helpful Links p.25 Appendix C: Helpful Links

3. 3 What is the new process? The new recoupment process allows for the automatic recovery of overpayments notifies claimants of balance due to DOL details debt satisfaction information on RV shows refund amount due to claimant on RV

4. 4 How will the change affect me as a claimant? DOL will systematically recoup any debt owed due to overpayment The recoupment process will provide: Faster, more efficient processing Systematic notification of credit balance owed to DOL

5. 5 What is considered an adjustment request? An adjustment request is a correction, change or update to a bill. Adjustment request can occur for the following examples :  Payment consideration for a partially paid bill  Payment consideration for a previously denied bill  An Authorization is now on file

6. 6 How do I request an adjustment? Simply submit a corrected bill (CA-915 or CA- 957) to: DFEC Mailroom P.O. Box 8300 London, KY 40742-8300 Or call the ACS Call Center at (844) 493- 1966 Monday - Friday 8 a.m. to 8 p.m. EST

7. 7 When can I expect a response after submitting a request? Adjustment request submitted by claimants are sent to London KY. Once received, claimant can/will: Receive bill payment status within 10-business days from date of receipt. Have the ability to check bill status on the Web or our IVR inquiry menu

8. 8 When can I expect a response after submitting a request? (continued) Web http://owcp.dol.acs-inc.comhttp://owcp.dol.acs-inc.com To check your bill status online, you may log in to the ACS- DOL secure Web Portal. Select Bill status to launch search. Bill summary and detail information will be available IVR (Interactive Voice Response) 24/7 access 1-866-335-8319 Call the ACS Call Center at (844) 493-1966 Monday - Friday 8 a.m. to 8 p.m. EST 00912345678910111 321321

9. 9 Systematic recoupment of overpayments

10. 10 Systematic recoupment of overpayments The recoupment of an overpayment occurs when a claimant has been over paid for a service. What creates an overpayment? An adjustment transaction that pays less than the original bill payment Example: Claimant changes billed mileage to be less than originally submitted A denial for a service that was previously paid Example: Claimant bills for a duplicate charge The overpayment will create a credit balance on file or debt to DOL

11. 11 How do I know if I have a debt owed to DOL? Notification of over payments will post to your RV for the amount payable to DOL for each bill affected Review your RV for a total amount payable to DOL Look for the field labeled “Ending Credit Balance Payable to Dept. of Labor”

12. 12 Overpayment RV – Outstanding balance on RV “Ending Credit Balance Payable to Dept. of Labor” Overpayment created from this TCN Total amount now owed to DOL Total amount paid due to other bills paid

13. 13 Overpayment info – Outstanding balance on Web Portal 40903112345678901 1234567 Amount Owed: Overpayment created

14. 14 How is the money recouped? If a claimant has a credit balance with OWCP, the amount will be automatically recouped from future bills submitted If you send a refund to DOL, please ensure to repay the full payment amount from the originally submitted bill Partial repayments will not prompt an adjustment

15. 15 Recoupment info on RV – debt satisfied Payable amount Payable amount of $106.30 is applied to two previous overpayment TCNS on file for the claimant Amount remitted after recoupment and debt satisfaction for that claimant Beginning total amount owed to DOL Amount recouped from this pay cycle Remaining total amount owed

16. 16 Recoupment info on the Web Portal 40932112345678901 4093211234567908 60932130300300033 Payable amount Payable amount of $106.30 is applied to two previous overpayment TCNS on file for the claimant

17. 17 Recoupment info on RV – monies credited and debt remaining Overpayment on file for claimant Amount recouped and credited to overpayment Remaining amount owed to DOL for this claimant Remaining total amount owed to DOL Payable amount is applied to previous overpayment TCN (s) on file for the claimant

18. 18 Payment An adjustment transaction may pay additional monies to you Example: Previously submitted charges for 99255 that denied for claimant eligibility. Claimant case is now open and payable. Bill has been resubmitted for payment. The RV will show the credit (negative) and debit (positive) The RV will state “Net amount payable to you”

19. 19 Payment – Bill inquiry on the WEB- Portal 987654 00932110200100100 00932110200200100 987654 00912330305555530 00932110200200100

20. 20 How do I tell which bills have created the overpayment on file? Credit balance summary page on your RV will show each TCN and date the balance was created

21. 21 Refund An adjustment transaction that shows too much money was recouped from the provider. The RV will state “Net amount refunded to you” CLAIMANT NAME 121234567 0-09321-20-200-5555-55

22. 22 What if I have not received payment? If it has been less than 45 days from date of payment, please allow the designated timeframe to occur before requesting assistance If it has been 45+ days from date of payment, please call the ACS Call Center at (844) 493-1966 and request a check trace.

23. 23 Appendix A: Definitions RV = Remittance Voucher or the explanation of benefits Adjustment = a request for reprocessing a previously processed bill Credit balance = amount owed to DOL due to overpayment for services previously billed (also called: debt, outstanding balance) Credit = a reversal or void of a previous processed bill Debit = a bill that remits monies to the submitter

24. 24 Appendix B: FAQ Page Click the link below for a 1 page overview FAQ Document for Claimants

25. 25 Appendix C: Helpful Links ACS-DOL Web Portal Home Page http://owcp.dol.acs-inc.com CA 915 and CA 957 forms