To properly document work history, the adjudicating component must address all material
inconsistencies in a claimant’s work history. The adjudicating component:
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May use SEQY, DEQY, or DISCO queries to address material work history inconsistencies.
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Should only obtain a query when it is likely that the information the query contains
will be useful in addressing the issue at hand (e.g., a material inconsistency in
the claimant’s work history or in determining if a job is relevant).
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Must place into the case file any query obtained to address material inconsistencies
in the claimant’s work history.
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Must explain the use of a query, if obtained or referenced.
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Must address all material inconsistencies raised by a query, regardless of the reason
the adjudicating component obtained or referenced the query.
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Must address all material inconsistencies raised by a query that the adjudicating
component did not obtain but are present in the case file.
1. Procedure when there is no query referenced or in file
When there is no query referenced or in file, the review component:
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must not obtain a query, even if it appears that information from the query could
resolve a material inconsistency in the claimant’s work history;
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should return the case when material work history inconsistencies exist, specifying
for the adjudicating component the inconsistencies they must resolve and explain;
and
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must not instruct the adjudicating component to obtain a query nor specify how the
adjudicating component should address any material inconsistency identified by the
review component.
2. Procedure when there is a query referenced or in file
When a query referenced is in file or referenced by the adjudicating component, the
review component:
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may use the query that is already in file or identified by name (but only the same
query that is in the file, or a query the adjudicating component obtained, referenced,
or used) to conduct their case review; and
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may cite deficiencies based on the information the query contains.
NOTE: If the query the adjudicating component used is not in file, identified, or clear
from the case record, then the review component may use the Summary Earnings Query
(SEQY), Detail Earnings Query (DEQY) or Disability Insured Status Calculator Online
(DISCO) in conducting the case review and may cite deficiencies based on the information
the queries contain.
See Also:
DI 22515.020 – Resolving Insufficient Vocational Evidence using a Detail Earnings Query (DEQY)
or a Summary Earnings Query (SEQY)