TN 12 (08-21)

GN 02270.003 Claims Folder Information for Personal Conferences

In most overpayment waiver situations created after 2000, the field office (FO) or program service center (PSC) does not need to request a paper claims folder for any documents used to calculate the overpayment. Most of these documents can be found in either Paperless, the Claims File User Interface (CFUI), or the electronic folder (EF).

Use the following steps to gather pertinent documents used to calculate the overpayment to use for the folder review and personal conference.

A. Query CFUI

Since we are becoming more of a paperless environment it is possible there are no paper claims folder to review. Use the CFUI to view electronic documents and the certified electronic folder (CEF).

Print the pertinent information used to calculate the overpayment so it is available to the debtor for the folder review (review (i.e. paid vs payable charts, notices, etc.).

B. Query the Evidence Portal application

Query the Evidence Portal application to see what other actions are pending or completed, which may be relevant to the overpayment.

If you have questions, contact the PSC that has jurisdiction to request they fax any pertinent documents to you.

NOTE: If waiver requests are pending at multiple FOs, have the documents faxed to Non Disability Repository for Evidentiary (NDRed) where everyone can access them.

C. Information needed from the paper folder

If a paper folder exists and Paperless does not have all of the documents needed, contact the appropriate Information Retrieval Group (IRG) if the folder is located in the National Records Center or the Office of Central Operations (OCO’s) Megasite. For more detailed instructions, see GN 01070.600 Retrieving Information and Documents from Stored Folders.

D. Requesting the paper folder

If you are unable to locate the pertinent overpayment documents in CFUI, Paperless, or from the IRG, request the paper folder using instructions in GN 03340.010B.1.

 

E. No overpayment documents found

If you are still unable to obtain any pertinent overpayment documents from the claims folder and you cannot gather them through the Online Retrieval System (ORS), Paperless, CFUI, or other electronic means, process the waiver according to GN 02250.315G.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0202270003
GN 02270.003 - Claims Folder Information for Personal Conferences - 08/20/2021
Batch run: 08/20/2021
Rev:08/20/2021