Consider the options for denying a claim only when:

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  all of the required evidence is in the claim file and you establish that the claimant is not entitled or eligible at the time of adjudication;

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  required evidence is missing, but entitlement or eligibility would not exist even if the claimant provides the required evidence; or

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  the evidence required is missing (e.g., relationship, insured status, age) and the claimant fails to submit such evidence (see Failure to Submit Essential Evidence in GN 01010.410 and Closeout – Failure to Cooperate Initial Claims in SI 00601.110).

IMPORTANT: Consider correcting the numident (NUMI) record, if you are denying the claim for a factor of entitlement (i.e., relationship, insured status, age) and the claimant has the required evidence to process the SSNAP application at the time of filing.

The claim technician is responsible for verifying the applicant’s identity during the initial interview. However, when the applicant alleges different identity information from the NUMI record (e.g., first name, last name, DOB) it is their responsibility to provide proper evidence to correct or update our records, see Identity of Claimants in and Reviewing Age, Identity, Citizenship and Lawful Alien Status Evidence for an SSN Card in RM 10210.210.

If the applicant is unable to provide the evidence required to resolve discrepant data, per GN 00203.030D.,the technician must:

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  follow instructions to document the claim in GN 01010.410;

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  enter the denial code “065” on the benefit continuity factor (BECF) screen to deny the claim (see MSOM MCS 009.003); MCS automatically generates and releases the denial letter.

The NH's withdrawal nullifies the auxiliary claim; therefore, we must deny the auxiliary’s claim. If we approved the NH's request to withdraw, send a denial notice to the auxiliary claimant. This is required even if the auxiliary is living in the same household with the NH (see Processing Withdrawal (WD) Requests before Adjudication in GN 00206.011).

Use the Manual Adjustment Credit and Award Data Entry (MACADE) System to process Modernized Claims System (MCS) exclusions or limitation, which preclude using the earning computation (EC) process to deny or disallow the claim.