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The Claimant and Claimant Representative Listing page is step six of the New Claim process. You can supply up to four claimants and their respective representation information. Entered claimants will be shown on the list.
Claimants should only be entered if the beneficiary is deceased. Do not enter claimants who are pursuing a claim on behalf of a living beneficiary. The Claimant may be the beneficiary's estate, or other claimant in the case of wrongful death or survivor action.
To add a Claimant, click Add Claimant.
To edit a previously entered Claimant, click Edit next to the Claimant you wish to view or change.
To delete a previously entered Claimant, click Remove next to the Claimant you want to delete.
| Field & Buttons | Action |
|---|---|
| Claimant | Displays the first and last name of the claimant. |
| Claimant Representative | Displays the first and last name of the representative. |
| Actions | - |
| Edit | Click to view or change an existing claimant in the Edit Claimant dialog. |
| Remove | Click to delete a claimant from the list. When the Delete Claimant dialog appears, click Delete to delete the claimant, or Cancel to cancel the operation. |
| Add Claimant | Click to add a claimant in the Add Claimant dialog. |
| Continue | Click to submit information for verification and continue to the Claim Summary page if edits are passed. |
| Cancel | Click to open the Cancel New Claim? dialog. Click Cancel on the dialog to cancel the claim updates. Any information you entered will not be saved. |
| Save | Click to save the information that you have entered and continue working on this page. The save will trigger edits if the information you have entered contains format or consistency errors. |
| Save & Exit | Click to save your work to finish later. The application will save any information you have entered that does not have a data format error and return to the Claim Listing page. This information will be available for 30 calendar days before it will be deleted. |
September 2024
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