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VA Code in Flight Submission - Claims Process and Eligibility Enhancements (CPEE) Requirements
Revision: 2
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11156
Requirements are provided in a .csv export and are attached.

The requested capability is generally to implement functionality as described in the collection of CRs identified as high priority by the OPS Directorate. This functionality generally involves:

• Initial claims processing
• Vendor selection and travel claims’ point of pickup
• Suspense queues claim review and clearing
• Modifications to document identification software and Optical Character Recognition (OCR) capabilities
• Automatic system imaging and storing of template letters requesting additional information
• Modification to replacement identification (ID) cards in regards to timely filing overrides
• Automation of retired reservist sponsors who become Tricare eligible
• Adding the ability to reprocess Electronic Data Interchange (EDI) claims
Revision Version
Submitted By
Submission Date
Certified
Notes
2OIT EPMO Open Source Coordination Office10-19-2017This revision makes available the draft requirements for the Claims Processing Eligibility Enhancements Project.
1OIT EPMO Open Source Coordination Office10-22-2015

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