All Else iClaim Screens

English iClaim All Else

Screen Package
Version 1.4

April 6, 2011

Table of Contents

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1. Pages 4

1.1. ent002_Welcome 4

1.2. ini001-r3_Preparers Contact Info 5

1.3. ini001-r3_Preparers Contact Info Foreign 6

1.4. ini001-d3_Preparers Contact Info 7

1.5. ini001-d3_Preparers Contact Info Foreign 8

1.6. ini002-d1_Applicant Identification 9

1.7. ini002-d1_01_Applicant Identification 10

1.8. apn001-d1_Application Number 11

1.9. apn001-m1_Application Number 12

1.10. adi003-1_Disability 13

1.11. fam003-d1_Children 14

1.12. ear005-1-b_Other_Pensions_Annuities 15

1.13. ear005-1-e_Other_Pensions_Annuities 16

1.14. ear005-r1-c_Other_Pensions_Annuities 17

1.15. wst001-1-a_When to Start Retirement Benefits 18

1.16. wst001-1-a_01_When to Start Retirement Benefits 19

1.17. bni002-r1_b_Benefit Information 20

1.18. bni003-1_Benefit Information 21

1.19. bni004-1_Benefit Information 22

1.20. bni005-1_Benefit Information 23

1.21. dsq001-1_Ability To Work 24

1.22. dsq002-1_Disability Payments 25

1.23. dsq003-1_Dependents 26

1.24. dsq004-1_Authorization 28

1.25. rem001-m_Remarks 29

1.26. rem002-r1-cancellation 30

1.27. ovs001-d1-b_Overall Summary 31

1.28. ovs001-r1-e_Overall Summary 35

1.29. ovs001-m1-g_Overall Summary 41

1.30. ovs001-d3-d_Overall Summary 44

1.31. ovs001-r3-c_Overall Summary 49

1.32. ovs001-m3-f_Overall Summary 55

1.33. snd001-d1_Send This Application 57

1.34. snd001-m1_Send This Application 58

1.35. snd001-d3_Send This Application 59

1.36. snd001-m3_Send This Application 60

1.37. snd001-r3_Send This Application 61

1.38. rec001-d1-b_Evidence and Receipt 62

1.39. rec001-r1-e_Evidence and Receipt 67

1.40. rec001-m1-g_Evidence and Receipt 72

1.41. rec001-r3-c_Evidence and Receipt 76

1.42. rec001-d3-d_Evidence and Receipt 81

1.43. rec001-m3-f_Evidence and Receipt 86

1.44. wtn001- d1_What's Next 90

1.45. wtn001- m1_What's Next 92

1.46. wtn001- r3_What's Next 94

1.47. wtn001- d3_What's Next 96

1.48. wtn001- m3_What's Next 98

2. Messages 100

2.1. MSG-Confirm Delete of Table Entry 100

2.2. msg006_YouCannotApplyforMedicareOnly 101

2.3. msg017_SignIn Problem 102

2.4. msg025_Your Time Has Expired 103

2.5. msg029_LimitOnNumberOfRestartsOnPartialApplication 104

2.6. msg030_We Are Processing Your Request 105

2.7. msg047-a_Change Your Answer 106

2.8. msg047-b_Change Your Answer 107

2.9. msg113_Limit on Number of Requests 108

2.10. msg151_Cannot Match Your Zip Code 109

1. Pages

   1. ent002_Welcome

2. ini001-r3_Preparers Contact Info

3. ini001-r3_Preparers Contact Info Foreign

4. ini001-d3_Preparers Contact Info

5. ini001-d3_Preparers Contact Info Foreign

6. ini002-d1_Applicant Identification

7. ini002-d1_01_Applicant Identification

8. apn001-d1_Application Number

9. apn001-m1_Application Number

10. adi003-1_Disability

11. fam003-d1_Children

12. ear005-1-b_Other_Pensions_Annuities

13. ear005-1-e_Other_Pensions_Annuities

14. ear005-r1-c_Other_Pensions_Annuities

15. wst001-1-a_When to Start Retirement Benefits

16. wst001-1-a_01_When to Start Retirement Benefits

17. bni002-r1_b_Benefit Information

18. bni003-1_Benefit Information

19. bni004-1_Benefit Information

20. bni005-1_Benefit Information

21. dsq001-1_Ability To Work

22. dsq002-1_Disability Payments

23. dsq003-1_Dependents

24. dsq004-1_Authorization

25. rem001-m_Remarks

26. rem002-r1-cancellation

27. ovs001-d1-b_Overall Summary

28. ovs001-r1-e_Overall Summary

29. ovs001-m1-g_Overall Summary

30. ovs001-d3-d_Overall Summary

31. ovs001-r3-c_Overall Summary

32. ovs001-m3-f_Overall Summary

33. snd001-d1_Send This Application

34. snd001-m1_Send This Application

35. snd001-d3_Send This Application

36. snd001-m3_Send This Application

37. snd001-r3_Send This Application

38. rec001-d1-b_Evidence and Receipt

39. rec001-r1-e_Evidence and Receipt

40. rec001-m1-g_Evidence and Receipt

41. rec001-r3-c_Evidence and Receipt

42. rec001-d3-d_Evidence and Receipt

43. rec001-m3-f_Evidence and Receipt

44. wtn001- d1_What's Next

45. wtn001- m1_What's Next

46. wtn001- r3_What's Next

47. wtn001- d3_What's Next

48. wtn001- m3_What's Next

2. Messages

   1. MSG-Confirm Delete of Table Entry

2. msg006_YouCannotApplyforMedicareOnly

3. msg017_SignIn Problem

4. msg025_Your Time Has Expired

5. msg029_LimitOnNumberOfRestartsOnPartialApplication

6. msg030_We Are Processing Your Request

7. msg047-a_Change Your Answer

8. msg047-b_Change Your Answer

9. msg113_Limit on Number of Requests

10. msg151_Cannot Match Your Zip Code

The Usability Center Page 61 of 61 Version 1.4

Last Updated: 4/5/2011