Basic (04-20)

GN 01762.310 Uruguayan Liaison Agency Requests for Medical Examinations

A. Background – Uruguayan Liaison Agency requests a medical examination

If the Uruguayan liaison agency requests a medical examination for a U.S. resident, the Social Security Administration (SSA) will schedule the examination and send the results to the liaison agency.

B. Process for the Uruguayan Liaison Agency to obtain medical examinations

To secure medical examinations for the Uruguayan liaison agency, use the following process:

1. The Uruguayan Liaison Agency request for medical examinations

The Uruguayan liaison agency requests medical examinations using Form SSA 2960 USA/UY 3 (U.S. - Uruguay Agreement on the Social Security Transmittal/Request/Certification).

2. SSA schedules an examination or forwards pertinent medical evidence

SSA schedules an examination or forwards copies of “pertinent medical evidence” from SSA files to the Uruguayan liaison agency. Pertinent medical evidence is medical evidence that SSA obtained in connection with a continuing disability review or a disability claim filed or adjudicated within a year of the date for which the Uruguayan liaison agency has specifically requested medical evidence. SSA’s files include a paper claims folder and electronic files.

3. SSA requests reimbursement for cost of medical examinations

SSA requests reimbursements for the cost of medical examinations obtained for the Uruguayan liaison agency using form SSA-1278 USA/UY 9 Request for Payments of Reimbursable Expenses under U.S. - Uruguay Agreement on Social Security. Once the form is completed, scan it into electronic file (CFUI) and send a copy to:


Banco de Prevision Social
Colonia 1881 Piso 2
C.P. 11200
Montevideo, Uruguay


You can print this form from the SSA Totalization Forms section of the Division of International Operations “Totalization Resource Kit.”



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GN 01762.310 - Uruguayan Liaison Agency Requests for Medical Examinations - 04/30/2020
Batch run: 04/30/2020