If the claimant is not insured for SSDI benefits but has a least six U.S. QCs, the
domestic FO processes the technical denial on U.S. earnings. To process denial, FO
codes PC8 on DECI and TOTL screen in MCS and selects “FO No Determination” in EDCS.
Totalization claims filed by or on behalf of individuals physically outside the 50
States, the District of Columbia, the U.S. Virgin Islands, Guam, American Samoa, or
Puerto Rico are the jurisdiction of OIO. Transfer these claims to OIO in MCS and EDCS
using FO code E15 for medical development and the disability determination.
The domestic FO then forwards any paper claims to OIO to determine if:
-
•
U.S. disability insured status is met based on combined U.S. and foreign coverage,
and
-
•
there is any possible need for a medical determination.
If there is no paper folder, the domestic FO sends Modernized Development Worksheets
(MDW’s) to PC8 for electronic claims and advises PC8 of the claim for totalization
benefits.
NOTE: Canadian border FOs should process Category 2 through their State DDS and prepare the A101 or EF101 for OIO effectuation.