https://osdri-my.sharepoint.com/:v:/g/personal/kkingesq_osdri_org/EdnOdxoOppJBtVldYpXTSt0BjXoPx1sx1FZSEbg51i5X_Q?e=tRfoYh
Navigate to the Treatment Tab in the case to determine whether the client has treated anywhere other than the VA Medical Centers.
If they have, make sure a claim has been submitted by checking the Class Code
If the Class Code is either CLAIM, RFD, or SUPP, a claim is pending before the VA
<aside> 🪙 Pro Tip: If the claim needs to be filed in the Supplemental Lane (0995), an updated PMR Request may serve as the new and relevant evidence to reopen a previously denied claim.
</aside>
Generate PMR Request to VA and DOMA
Select ONLY the private treatment providers from the dropdown menu in Neos
Open the PMR Request to VA and DOMA in Adobe
In a separate window, open the Rep Packet to Intake_SIGNED from the Authorizations Folder
*Make sure VA Form 21-4142 is dated within 30 days
Insert the SIGNED 4142 (2 pages) from the Rep Packet to Intake_SIGNED to PAGE 3 of the PMR Request to VA and DOMA
Your PMR Request to VA and DOMA should be 5-6 pages, depending on how many private treatment providers you have.