TN 1 (04-89)

GN 04442.115 Sample Universe and Exclusions

A. Operation Policy - General

All DRS disability determinations on railroad claims in which medical factors are considered and all joint freeze disability determinations prepared by the RRB (countersigned by the DRS examiner) are subject to review.

B. Operating Policy - Sample Selection

The sample is selected by the DRS.

1. WHEN SAMPLE SELECTED

  1. After the SSA-831-U5/SSA-833-U5 is signed by the DRS, and

  2. Before any action is taken to effectuate the determination or release notices.

2. EXCLUSIONS

Claims excluded from quality review are:

  • Technical denials

  • ALJ, Appeals Council, and court decisions

  • Foreign claims

  • Title XVI portion of concurrent title II-XVI determinations

  • Unilateral freeze claims

  • Critical claims

  • Congressional claims

NOTE: Technical denials include those claims where claimant died in the waiting period etc.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204442115
GN 04442.115 - Sample Universe and Exclusions - 07/29/1994
Batch run: 01/27/2009
Rev:07/29/1994