In concurrent Titles II and XVI cases and Title XVI only cases, the PC reviewer will notify the field office (FO) using Modernized Development Worksheet (MDW) or PCACS (Payment Center Action Control System) that a copy of the administrative review determination may be found in the Online Retrieval System (ORS) or eView.

If we continued to withhold past-due benefits for payment of the authorized fee after receiving the request for administrative review, the PC reviewer instructs the benefit authorizer (BA) concerning the disposition of these benefits.

When an eligible representative reports that they are unable to collect the fee that resulted from the administrative review determination the PC reviewer:

• •

  Directs the BA to certify direct payment of the fee decided on administrative review to the eligible representative, or entity if there is a valid assignment as described in GN 03920.021  (in the amount of the remaining withheld past-due benefits released after the initial fee payment, subject to the 25 percent maximum); and

• •

  Asks the BA to establish an overpayment and initiate recovery, following the instructions in GN 03920.055C.

Exception: If we properly paid a fee pursuant to the initial fee authorization, and subsequently the representative files an untimely request for administrative review, we are not responsible for payment of any increased fee amount determined on administrative review. In these situations, the PC reviewer need not take any additional actions regarding direct payment of any increased fee resulting from administrative review.