TN 6 (08-94)

GN 02606.200 PC Reply - Exhibit

A. INTRODUCTION

This section provides facsimiles of the Form SSA-2568-U3 and the 2568/256C administrative message screens.

B. EXHIBIT - 2568 SCREEN

This is an exhibit of the PC Reply - 2568 and 256C.

ADM       PC REPLY         2568

     TRANSFER TO:

 

ROUTING INDICATOR (TO):    DATE (MMDDYY):      NH NAME:

 

SSN:      BIC:      BENEFICIARY NAME:
CROSS REFERENCE SSN/BIC:

 

FROM

  • PC:      PC CONTACT PERSON:
    PHONE:      FAX:
    TYPE OF REPLY:    1= FINAL    2= INTERIM

     

TO

  • DISTRICT OFFICE (CITY/STATE):
    DO CONTACT PERSON:         UNIT:

     

TYPE OF REQUEST RECEIVED:

  • 1 = CRITICAL 2489    2 = PRIORITY 2560      3 = NONPRIORITY 2560

DATED (MMDDYY):

REQUESTING
1 = CRITICAL PAY   2 = EXPEDITED PAYMENT   3 = ACTION   4 = INFORMATION 5 = FOLLOWUP

BENEFICIARY CONTACTED DIRECTLY (Y/N):

                                    2568 PAGE 2

 

EXPLANATION

  • 1 = PAYMENT ACTION TAKEN

    2 = REQUEST IS BEING EXPEDITED - WILL ADVISE AS SOON AS POSSIBLE

    3 = NO RECORD OF THIS SSN - PLEASE VERIFY AND RESUBMIT REQUEST

    4 = CLAIM NOT IN THIS OFFICE - RETRANSMIT REQUEST TO PROPER PC

    5 = EXCLUDED FROM THE CRITICAL PROCESS PER POMS RS 02801.000 ff.

    6 = NO PAYMENT ACTION DUE - SEE EXPLANATION BELOW

    7 = ACTION CANNOT BE TAKEN WITHOUT THE FOLDER - SEE EXPLANATION BELOW

    8= OTHER

IF 1 IS SELECTED ENTER PAYMENT INFORMATION:

BIC:      PAID AMT:       FOR:       RUN (MMDD):       CONT AMT:

BIC:      PAID AMT:       FOR:       RUN (MMDD):       CONT AMT:

BIC:      PAID AMT:       FOR:       RUN (MMDD):       CONT AMT:

BIC:      PAID AMT:       FOR:       RUN (MMDD):       CONT AMT:

 

CASE INFORMATION:

C. EXHIBIT - FORM SSA-2568-U3

This is an exhibit of the Form SSA-2568-U3.

G-SSA-2568-U3

Printer Friendly Version

D. REFERENCES

PC Reply, MSOM ADMIN 004.004 and MSOM ADMIN 004.005
Introduction to TRIDE System, MSOM DOORS 001.001
Routing Indicator Directory(RID), MSOM DOORS 002.003
TRIDE Input Screens, MSOM DOORS 003.001


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0202606200
GN 02606.200 - PC Reply - Exhibit - 03/26/2001
Batch run: 01/27/2009
Rev:03/26/2001