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After the Electronic Data Interchange (EDI) is completed and the Form CA-1 is submitted, the claim is typically adjudicated by a claims examiner or adjudicator within the relevant workers' compensation program or agency, such as the Office of Workers' Compensation Programs (OWCP) in the U.S. Department of Labor. They review the submitted documentation, assess the validity of the claim, and determine eligibility for benefits based on the information provided. This process may also involve further investigation or requests for additional information if necessary.

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2mo ago

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