TN 139 (06-19)

GN 02402.012 Field Office (FO) Instructions for Non-Receipt Alleged Fraud

A. Overview

The Social Security Administration (SSA) receives reports of unauthorized Direct Deposit (DD) changes, as well as, unauthorized changes to my Social Security account information that commonly leads to payment redirection. If you receive a non-receipt inquiry, you must first identify its cause. If the non-receipt involves unauthorized DD changes or unauthorized changes made to my Social Security (mySSA) per OA 00220.005, the technician determines alleged fraud and takes actions to reimburse the beneficiary’s or recipient’s missing payment or payments.

B. Reimbursing Victims of Fraud

Once an unauthorized redirection of payment is determined, the technician takes action to reimburse the victim’s missing payment through the following instructions:

  1. 1. 

    Input the B-Stop. Annotate a “Y” in the FRAUD ALLEGED NON-RECEIPT TYPE B ONLY field, for each potentially fraudulent allegation of non-receipt. For Direct Express (DE) cases, input an R16 request via Direct Express R14/R16 Application per GN 02402.007K. (See SM 00609.110, MSOM T2PE 003.028, GN 02406.011 and GN 02406.007 for more information).
    NOTE: A non-receipt input for each DD or Direct Express (DE) payment will generate a trace request; it will not generate a courtesy disbursement or a replacement check.
    Important: Fraud Alleged Identifier information will display on the Payment History Update System (PHUS), EVNT 069 – Fraud Alleged for a non-receipt claim processed, by the Return Check Action Program (REACT).

  2. 2. 

    Decide if a payment should be issued through either the Critical Payment System (CPS) (see SM 00635.001), as an Immediate Payment (IP) (see SI 02004.100), or as an Automated One Time Payment (A-TOP) (See SM 01901.005). In addition to these respective payment’s policies, complete the instructions for the corresponding payment method:

    1. a. 

      If issuing a payment through either Title II, CPS, or as an IP, then perform the following:

      1. 1. 

        Annotate the “Instructions for Processing Center” field on the Critical Payment Details (CRSN) screen with “Alleged D/D Fraud, Review Teletrace Result - Possible Delay in O/P Collection.”

      2. 2. 

        Have the beneficiary or representative payee sign an SSA-795 Statement of Claimant or Other Person form for Title II (TII) benefits, per RS 02801.500.

      3. 3. 

        Scan the SSA-795 into the electronic claims folder or Non-Disability Repository for Evidentiary Documents (NDRed).

    2. b. 

      If issuing a payment via an IP for Title XVI (TXVI), then perform the following:

      1. 1. 

        Have the recipient or representative payee sign an SSA-8102 Advance Payment Receipt and Notice form, per SI 02004.130.

      2. 2. 

        Scan the SSA-8102 into the electronic claims folder or NDRed.

    3. c. 

      If issuing a payment through A-OTP for TXVI, then perform the following:

      1. 1. 

        Document the “REASON FOR PAYMENT” field of the SSA-4904-U2 Supplemental Security Income Monthly Payment Computation Summary form, with “Alleged D/D Fraud, Review Teletrace Result - Possible Delay in O/P Collection.”

      2. 2. 

        Scan the SSA-4904-U2 into the electronic claims folder or NDRed (See SM 01901.015).

      3. 3. 

        Post a Special message on the MBR or Remarks on the SSR "Alleged Direct Deposit or Direct Express Fraud for MMDDYY Payment CPS or AOTP issued.”

Important: 

Before issuing a replacement payment, verify that the bank data on the current record is correct.

C. References

  • OA 00220.005 Customer Reports or SSA Suspects Fraudulent Activity

    SM 00609.110 Post Entitlement Online System and Modernized Data Input

    T2PE 003.028 Nonreceipt1 Output (PEN1)

    GN 02406.011 Teletrace Process for Direct Deposit Nonreceipt

    GN 02406.007 Allegation of Non-receipt of Direct Deposit

    SM 00635.001 The Critical Payment System (CPS)

    SI 02004.100 Immediate Payments (IPs)

    SM 01901.005 When to Use One Time Payments (OTPs)

    RS 02801.500 SSA 795, Statement of Claimant or Other Person – For Immediate Payment Cases –Required Language

    SI 02004.130 Field Office Procedures for SSI Immediate Payments

    SM 01901.015 Steps to Issue a One-Time Payment (OTP)

 


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0202402012
GN 02402.012 - Field Office (FO) Instructions for Non-Receipt Alleged Fraud - 06/03/2019
Batch run: 06/03/2019
Rev:06/03/2019