TN 1 (04-89)

GN 04442.220 Reviewing the Results of Corrective Action

A. Introduction

After the DRS has obtained any additional evidence because of a documentation deficiency, the claim must be returned to the review component before effectuation.

B. Procedure

1. DQB AGREES WITH CORRECTIVE ACTION

The DQB must:

  1. Prepare a Federal Review Results Form.

  2. Return claim to DRS for effectuation.

NOTE: Do not remove the Sample Flag.

2. DQB DISAGREES WITH CORRECTIVE ACTION, DETERMINATION STILL DEFICIENT

If the disagreement involves the adequacy or interpretation of medical evidence:

  1. Send the claim to RMCS on an SSA-448 for comments.

  2. When RMCS returns the claim, decide if you agree or disagree with the DRS determination.

    • Agreement: Send the claim to the DRS for effectuation.

    • Disagreement: Explain your disagreement on another SSA-1774-U5 marked “Second Return” and return the claim to the DRS to correct the deficiency.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204442220
GN 04442.220 - Reviewing the Results of Corrective Action - 12/22/1989
Batch run: 01/27/2009
Rev:12/22/1989