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CHAPTER V CLASSIFYING PROPRIETY OF PAYMENTS 1

CHAPTER V CLASSIFYING PROPRIETY OF PAYMENTS 1 2025

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Chapter V of the document outlines the procedures for classifying the propriety of payments in a claims investigation context. It details the coding system used to determine whether payments are proper or improper, including specific instructions for recording data elements related to overpayments and underpayments. The chapter emphasizes the importance of accurate data entry and classification, providing guidelines for handling multiple issues affecting key week payments, and includes a summary worksheet for calculating amounts owed to claimants. Additionally, it describes the process for completing and potentially reopening cases after investigations.

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