Caseflow Intake #

• Intake
• Caseflow Intake
• Intake Data Model
• Intake tables diagram

Decision Reviews #

Intake is the source of all AMA decision review request submissions. There are three decision review lanes: Appeals, HigherLevelReviews, and SupplementalClaims.

Class diagram of relevant terminology:

• DecisionReview
  • Appeal
  • ClaimReview
    • SupplementalClaim
    • HigherLevelReview

Appeals #

Appeals represent an AMA review that gets filed with the Board of Veterans’ Appeals (BVA). Refer to Intake tables diagram below.

• docket_type can be one of the following:
  • direct_review - No new evidence and not requesting a hearing
  • evidence_submission - New evidence but not requesting a hearing
  • hearing - Submit new evidence and want to testify before a VLJ
• poa_participant_id: Power of Attorney (POA) is connected to legacy appeals in VACOLS and Veterans in BGS. Since this model represents AMA appeals, we are getting this data from BGS
• veteran_is_not_claimant: A claimant on an appeal does not have to be the Veteran. It can be a spouse, child, or even an attorney.

Claim Reviews (i.e., HigherLevelReviews and SupplementalClaims) #

A HigherLevelReview and SupplementalClaim are a type of ClaimReviews. These ClaimReviews are sent to the Veterans Benefit Administration (VBA) and differentiate from Appeals in that they include a benefit type. Benefit types of compensation and pension are processed in VBMS, where as the rest are processed in Caseflow.

RequestIssues #

RequestIssues are submitted as part of a DecisionReview and represent a specific issue a Veteran is facing, such as hearing loss or sleep apnea. There are three categories of RequestIssues: rating, non-rating, and unidentified.

EndProductEstablishments #

The EndProductEstablishment model exists in Caseflow to represent EndProducts created in VBMS. End Products are created for Higher Level Reviews and Supplemental Claims that are compensation or pensions and for Board Grant Effectuations that have granted compensation and pension issues on appeals.

Relationships #

In the diagram below you can see that the appeals, supplemental_claims, and higher_level_reviews table’s id will correspond with the request_issues table’s decision_review_id as well as the end_product_establishments table’s source_id.

Also note that the request_issues table’s id is referenced by the end_product_establishments table. The end_product_establishments table’s source_type is the same as the request_issues table’s decision_review_type.