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AUDIENCE: CA, CRTA, CR, CLADJ, BA, BATA, SR, RECOVR
Although steps are taken to avoid the issuance of duplicate checks or any other overpayment,
occasionally subsequent claims folder review reveals that a duplicate or incorrect
payment(s) has been made. Due to the critical nature of these cases, special procedure
must be followed in the recovery of the overpayment to avoid future critical case
handling.
If, in the process of associating the “dummy” or duplicate folder with the original claims folder, it is discovered that an incorrect
payment(s) was issued and the amount involves at least $1.00, a record of the overpayment
will be established on ROAR. A 30-day diary period will be estabished automatically
unless a different period is input.
Where the 30-day period has already expired or upon maturity of the diary if the overpayment
has not been refunded or the check(s) returned, the reviewing office will send notice
of the overpayment and institute regular recovery procedures. The explanation of overpayment
to the beneficiary should include the month(s) involved, the exact amount of the checks
issued for the month(s), the exact or approximate date(s) of payment(s), and the amount
that was actually due.
Example:
“A review of your claims record indicates that you received duplicate payments for
the months of May, 1974 and July, 1974. You were paid checks on June 3, 1974, and
August 3, 1974, for those months in the amount of $144.40 each. You were also paid
checks covering this same period on or about June 24, 1974, and August 14, 1974, in
the amount of $150.00 each. Since you were due only $144.40 for each month, you were
overpaid $300.00.”
If at any time a protest to the LDO determination or a request for waiver is received
by the benefit authorizer, the case will be immediately referred to the recovery reviewer
for any required action, after preparing an SSA-1112, TC 23.