TN 6 (11-09)

GN 03102.175 Component Responsibility in the Reconsideration Process

A. Background

This section defines component responsibility for processing requests for non-medical reconsiderations under Title II and reconsiderations under Title XVIII of the Social Security Act.

See Also

Appeal policies and procedures specific to a particular benefit are in the following references:

B. Policy for jurisdiction and component responsibility

1. Field Office (FO)

The FO is responsible for:

  1. Explaining the reconsideration process.

  2. Interviewing and assisting the claimant in filing the request for reconsideration.

  3. Establishing the reconsideration on MCS for claims that are not MCS exclusions (see GN 03102.500 and MSOM MCS 004.002). The writing and document may be attached to the claims folder copy of the appeal form, for paper appeals see GN 03102.100.

  4. Processing to completion the following kinds of reconsiderations:

2. Processing Center (PC)

The PC is responsible for processing all other non-medical reconsideration requests not listed in GN 03102.175B.1.d. for the following:

  • RSI claims;

  • Medicare entitlement under Title XVIII;

  • DIB claims (age 54 and older);

  • DWB claims (age 54 and older);

  • CDB claims filed on a RIB account and CDB claims filed on a DIB account age 54 and older;

  • DWB claims disallowed for non-medical reasons;

  • Overpayments;

  • Waivers;

  • Post-entitlement issues.

NOTE: PCs are responsible for processing IRMAA reconsideration requests received directly from beneficiaries and requests transferred from the FO to the PC. When a PC receives a case from the FO, the PC determines if a manual action is required due to a processing limitation such as LESSDO. If no action has been taken by the FO and it appears the case was transferred in error, process the request and contact the FO to direct them to the instructions contained in HI 01140.005.

The PC receives reconsideration referrals from the field office through the Detailed Office and Organization Resource System (DOORS).

3. Great Lakes Program Service Center (GLPSC)

The GLPSC Disability Processing Branch processes reconsideration requests on career Railroad Retirement Board (RRB) disability cases (see DI 12045.065 and DI 11010.262).

4. Office of Disability Operations (ODO)

ODO reconsiders:

  • Non-medical issues on disability claims when the number holder (NH) is under age 54.

  • Non-medical issues on disability claims not specified as PC 1 through 6 jurisdictions.

  • Medicare Part A and Part B entitlement determinations relating to chronic renal disease.

5. Office of Earnings Operations (OEO)

OEO reconsiders earnings discrepancies forwarded by the FO or PC. For information about other components that may process reconsideration requests for earnings discrepancies see