{"id":344,"date":"2026-06-08T10:54:58","date_gmt":"2026-06-08T14:54:58","guid":{"rendered":"https:\/\/department.va.gov\/vba\/?page_id=344"},"modified":"2026-10-26T11:31:25","modified_gmt":"2026-10-26T15:31:25","slug":"detailed-claims-data","status":"publish","type":"page","link":"https:\/\/department.va.gov\/vba\/performance-analysis-integrity\/detailed-claims-data\/","title":{"rendered":"Detailed Claims Data"},"content":{"rendered":"\n
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Detailed Claims Data<\/h1>\n<\/div><\/div>\n\n\n
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About the claims data<\/h2>\n\n\n
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The Veterans Benefits Administration (VBA) reports weekly Compensation, Pension, Education, and other Special Mission claims processing reports to this page on behalf of Veterans, their families, and survivors. Each of the performance cards below provide an expanded view into select claims processing metrics pertaining to \u2014 how many claims are pending, how long they’re taking, and how accurately they’re being decided. Every card updates weekly and includes a trend chart going back several years.<\/p>\n\n\n\n

For a deeper look \u2014 including breakdowns by district, state, and claim type \u2014 VBA also publishes a weekly Monday Morning Workload Report in Excel. Jump to Monday Morning Workload Reports<\/a> below.<\/p>\n\n\n\n

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Back to VBA Reports<\/a><\/div>\n<\/div>\n\n\n\n
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Click and choose the desired Monday Morning Workload Report<\/h4>\n\n\n\n
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Volume and Timeliness<\/h2>\n\n\n
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How many disability claims VBA has, and how long they’re taking to process.<\/p>\n\n\n\n

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\"Total<\/figure>\n\n\n\n
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Claims inventory<\/h3>\n\n\n\n

Disability claims inventory (claims received by VBA that require development and a decision by a claims processor). <\/p>\n\n\n\n

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Review claims inventory trends<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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Claims backlog<\/h3>\n\n\n\n

Disability claims inventory pending more than 125 days since initial receipt.<\/p>\n<\/div>\n\n\n\n

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Review claims backlog trends<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\"Average<\/figure>\n\n\n\n
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Fully developed claims<\/h3>\n\n\n\n

Disability claims processed through VBA’s Fully Developed Claims Program.<\/p>\n<\/div>\n\n\n\n

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Review fully developed claims<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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Accuracy<\/h2>\n\n\n
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How accurately VBA is deciding disability claims, measured two ways \u2014 by individual medical issue, and by whole claim \u2014 each tracked over a 3-month and a 12-month window.<\/p>\n\n\n\n

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3 Month Claim-Based Accuracy<\/h3>\n\n\n\n

Accuracy of whole disability claims (encompasses all presented individual medical issues), based on a three-month rolling average.<\/p>\n<\/div>\n\n\n\n

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Review 3 month claim-based accuracy<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\"12-month<\/figure>\n\n\n\n
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12 Month Claim-Based Accuracy<\/h3>\n\n\n\n

Accuracy of whole disability claims (encompasses all presented individual medical issues), based on a twelve-month rolling average.<\/p>\n<\/div>\n\n\n\n

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Review 12 month claim-based accuracy<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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3 Month Issue-Based Accuracy<\/h3>\n\n\n\n

Accuracy of individual medical issues presented within disability claims, based on a three-month rolling average.<\/p>\n<\/div>\n\n\n\n

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Review 3 month issue-level accuracy<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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\"12-month<\/figure>\n\n\n\n
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12 Month Issue-Based Accuracy<\/h3>\n\n\n\n

Accuracy of individual medical issues presented within a disability claims, based on a twelve-month rolling average.<\/p>\n<\/div>\n\n\n\n

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Review 12 month issue-level accuracy<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

Note: For an in-depth explanation of how accuracy is measured, see the VBA Assurance Sampling Methodology<\/a>. For the history behind displayed accuracy goals, including how and when targets have been set or revised, see the MMWR User Guide<\/a>.<\/em><\/p>\n\n\n\n

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VBA quality assurance sampling methodology<\/h3>\n\n\n\n

During fiscal year 2015, VBA revised its quality assurance program to reflect industry-standard best practices in statistical sampling and estimation. VBA\u2019s quality assurance program is designed to provide quality estimates within a 5% margin of error with a 95% confidence level for every 12 months of reviews. For more information on VBA\u2019s quality assurance program and claim sampling methodology, please read: VBA Accuracy Sampling Methodology<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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Get the weekly reports<\/h3>\n\n\n\n

Access the weekly reports below. Reports are in Excel. Free viewer software is available to view these reports. If a dialog window appears asking for a decision on linking to feeder worksheets, click “NO.”<\/p>\n\n\n\n

Additional information has been published in the Monday Morning Workload Report (MMWR) beginning September 5th, 2016.  More information is available in the MMWR User Guide<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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Please submit any questions or comments to: PAI.VBACO@VA.GOV<\/a><\/strong><\/p>\n<\/div>\n\n\n\n

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Monday Morning Workload Reports<\/h2>\n\n\n
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Want more than the above claims processing metrics? VBA publishes a Monday Morning Workload Report (Microsoft Excel based) every week. It goes well beyond what’s summarized in the above metric cards \u2014 with data broken out by district, state, and regional office; separate views for different workload types (Compensation, Pension, and Special Missions); and detailed claim and accuracy metrics you can filter and explore directly. Free viewer software<\/a> is available if you do not have Excel (Note: If a dialog box asks whether to link to feeder worksheets, select No<\/strong>).<\/p>\n\n\n\n