TN 8 (06-04)

GN 04440.226 Routing Chart – Group II Onset Date Documentation Deficiencies –Post-Effectuation Correction

TYPE OF CLAIM

REVIEW COMPONENT (RC) ACTION

FOLDER(S) ROUTED TO

GN REFERENCE

1. Title II Only Initial

a. If IOD same as adjudicating component (AC) EOD Approve AC SSA-831.

b. If IOD different from AC EOD - Make pen-and-ink correction to SSA-831

AC with SSA-1774 requesting earlier onset development

EXCEPT for claims with:

- Unresolved capability, or

- DAA condition and claimant incapable

04440.223

2. Title II Only

Reconsideration and Initial Claim Exceptions in item 1 (unresolved capability or DAA condition and claimant incapable) GN 04440.224A.

SSA-1774 and supporting documentation to AC requesting earlier onset development, and

a. If IOD same as AC EOD – Approve AC SSA-831

b. If IOD different from AC AOD – make pen-and-ink correction to SSA-831 onset date

FO to effectuate payment

04440.224

3. Concurrent Initial

- Approve Title XVI SSA-831

- FAX/Send Title XVI SSA-831 to FO

AC with SSA-1774 requesting earlier onset development

EXCEPT for claims with: (see 4.)

  • Unresolved capability, or

  • DAA condition and claimant incapable

04440.225B.

4. Concurrent Reconsideration and Initial Claim Exceptions in item 3 (unresolved capability, or DAA condition and claimant incapable)

- Approve Title XVI SSA-831

- SSA-1774, SSA-827 and supporting documentation to AC requesting earlier onset development

FO to effectuate payment

04440.225C.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204440226
GN 04440.226 - Routing Chart - Group II Onset Date Documentation Deficiencies -Post-Effectuation Correction - 06/01/2004
Batch run: 01/27/2009
Rev:06/01/2004