If we cannot determine whether the evidence is from an AMS after reviewing the evidence,
and the issue is material to the determination (for example, no other evidence in
the file would establish the existence of an MDI), resolve the issue with subsequent
development. You may, for example:
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•
recontact the source for clarification; or
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•
consult State licensing or credentialing agency official resources, such as an official
website to determine if he or she is an AMS.
After recontact, if you still cannot verify that the source is an AMS, then you cannot
consider that source to be an AMS.
NOTE: Clearly document efforts to resolve any medical source issues. For the electronic
claims analysis tool (eCAT) claims, use the “Claims Communication” function in eCAT
to document the disability determination explanation. For information about the Disability
Determination Services documentation requirements in non-eCAT claims, see DI 20503.001E and DI 40525.125.