Assess whether a household is receiving duplicate subsidies from UI claims

Situation

Housing-subsidy fraud investigator in a UI shop after a synthetic-identity filing spike has one working extract — UI claims sharing device and bank-account graphs — after a MAGI mismatch that could be a household-size coding error. If UI claims sharing device and bank-account graphs cannot support a household is receiving, the honest Public Benefits output is hold.

Decision

Housing-subsidy fraud investigator in a UI shop after a synthetic-identity filing spike must choose Pay or continue / Recoup / Deny / Hold using UI claims sharing device and bank-account graphs after a MAGI mismatch that could be a household-size coding error.

Hypotheses to test

• The population in UI claims sharing device and bank-account graphs is the one a MAGI mismatch that could be a household-size coding error named, so Pay or continue follows for this Trafficking and Eligibility Fraud file.
• The population in UI claims sharing device and bank-account graphs is adjacent only to a MAGI mismatch that could be a household-size coding error; Recoup is the honest Public Benefits call.
• A UI shop after a synthetic-identity filing spike already contained a MAGI mismatch that could be a household-size coding error before UI claims sharing device and bank-account graphs arrived; no new Trafficking and Eligibility Fraud path.
• Provenance on UI claims sharing device and bank-account graphs after a MAGI mismatch that could be a household-size coding error is broken; do not pick Pay or continue or Recoup yet.

Analysis required

• Trace the notice and appeal path housing-subsidy fraud investigator must preserve.
• Test eligibility, recoupment, and improper-payment facts in UI claims sharing device and bank-account graphs after a MAGI mismatch that could be a household-size coding error.
• Quantify overpayment if a household is receiving is wrong.
• For this Public Benefits Trafficking and Eligibility Fraud file, read UI claims sharing device and bank-account graphs against a MAGI mismatch that could be a household-size coding error and write the one fact that would move a household is receiving for housing-subsidy fraud investigator.

Recommendation

Choose Pay or continue / Recoup / Deny / Hold on this Public Benefits / Trafficking and Eligibility Fraud packet (UI claims sharing device and bank-account graphs after a MAGI mismatch that could be a household-size coding error). The follow-on Trafficking and Eligibility Fraud action is what housing-subsidy fraud investigator does next: implement the option, assign an owner, and log the missing fact.