When the NH has at least 6 QCs but, in the judgment of the FO, would not be insured
even when the alleged foreign coverage is considered, take the following actions:
Take the appropriate application(s) but do not develop medical evidence.
Process an initial insured status denial (see GN 01702.315).
Complete the Modernized Development Worksheet (MDW) screen to show the date the claim
was forwarded to OIO. Show “Totalizatio” as the ISSUE when completing the MDW screen.
Upon receipt of the claims folder, OIO will request the foreign coverage record. If,
after receiving the foreign coverage record, the NH is insured, OIO will initiate
medical development. If, after receiving the foreign coverage record, the NH is still
not insured, OIO will send a final insured status denial.