Transaction 565 - Code 7 - Disability Pending Determination

 General Information | Audit Instructions | Audit Messages

 

Used to move an employee to non-pay status after appropriate leave credits have been exhausted but the employee's claim for disability is still pending.

PIMS Coding Matrix

Data Element

Required

Conditional

205 - Transaction Code

565

 

210 - Effective Date

X

 

215 - Employment History Remarks

 

X

565 - Injury / Illness Code

7

 

565 - Injury / Illness Date

One or more components required

 

565 - Injury / Illness Benefits Date

 

X

606 - Time to be Paid (New Position)

X

 

719 - Detail Transaction Code

 

X

957 - Eligibility Substantiation (Line G Item)

 

Delete codes 40 and 41 only

General Information

  1. The Injury/Illness Date may be the date the injury/illness is reported if the date that it actually occurred is not known.

  2. Benefits Date is not required for a 565 - Code 7 transaction.

  3. Item 215 may be used to record the employee’s first day off work.

Audit Instructions

  1. Refer to Special Instructions, Transaction S49, and Item 565 for explanation of various codes and processing requirements.

  2. When there is a prior 565 transaction, the benefit date will carry forward into the new 565 transaction. Enter an asterisk (*) to delete the old date.

  3. Refer to Transaction S49 if claim is denied.

Audit Messages

None