BASIC (03-95)

GN 03950.015 PC Actions on Receiving a Request for Administrative Review Under the Fee Petition Process (Step One)

A. Introduction

The first step in the administrative review process is to examine the request itself. SSA will consider whether the:

  • inquiry is a request for administrative review under the fee petition process;

  • request was filed by a proper party;

  • request was filed on time;

  • request was filed before the initial fee authorization; and

  • request includes other issues, and who has jurisdiction to process the request.

B. Procedure

Follow the procedure below when examining the request for administrative review.

1. Is the Inquiry a Request for Administrative Review

  1. Examine the party's inquiry to determine whether there is a clear request for administrative review. Do not confuse a request for more information with a request for administrative review.

    EXAMPLE:

    A non-attorney representative sends a letter questioning why SSA did not pay the authorized fee directly to him. This inquiry is not a request for administrative review. Send a letter to the representative explaining the withholding and certification provisions.

  2. If you question whether an inquiry is a request for administrative review, contact the party who made the inquiry (preferably by telephone) and determine the party's intent.

    NOTE: If the party only wants more information or an explanation, the office that authorized the initial fee will respond to the inquiry in writing. If the inquiry was made within 30 days after the date of the initial fee authorization, give the party 30 days after the date of the new response to request administrative review.

2. Was Request Filed by Proper Party

If the spouse of a claimant or an individual in the office of the appointed representative protests a fee when neither is a party to the fee authorization, assume that the individual is acting at the request of the proper party.

NOTE: Only the parties to a fee authorization, or individuals appointed to act on the parties' behalf, have a right to request administrative review. (See GN 03950.001B.2. for an explanation of who may request review.)

Send the acknowledgment letter and any request for more information to the proper party. However, in the letter, explain to the party that:

  • SSA has received a request for administrative review from (the name of the person) on his/her behalf; and

  • he/she must let SSA know, within 15 days, whether to proceed with the review.

If the party does not verify that the request was filed on his/her behalf, deny administrative review. Send a notice to the individual who protested the fee that he/she is not a proper party. Send a copy of the notice to the proper parties.

If a representative who did not participate in the initial fee authorization protests the fee, determine whether SSA paid the fee to the correct person.

NOTE: If more than one individual from the same office is involved in a claim, SSA may have paid the wrong person.

EXAMPLE:

The claimant appointed a senior attorney in a law firm as her representative. An associate attorney in the same law firm handled the claim under the direction of the appointed representative. The associate submits the fee petition and SSA authorizes a fee and certifies direct payment to that individual. The associate files a request for administrative review of the amount of the fee.

If such a situation occurs, contact the authorized representative (the senior attorney in the above example) and obtain a statement from him/her acknowledging the receipt of the certified fee and verifying he/she requests administrative review of the fee authorization.

If the appointed representative states he/she did not receive the fee:

  • ask the individual who received the erroneous payment (the associate in the above example) to refund the money to SSA; and

  • advise this individual that failure to refund the money will violate the Social Security fee regulations and could result in his/her suspension or disqualification as a representative in Social Security proceedings.

3. Was the Request Filed on Time

Examine the request to see whether the party filed it with an SSA office within the 30-day time limit (see GN 03950.010A.4.).