TN 14 (08-92)

DI 40510.180 Processing Appeal Requests - Premium Medicare Cases

A. Policy

If an individual is denied Medicare coverage and subsequently files a request for reconsideration or hearing, the FO obtains an SSA-561-U2 or HA-501-U5 and any additional evidence/material the claimant offers and sends it to ODIO/ PSC for processing.

B. Procedure - reconsideration

1. Non-medical issue

For reconsideration of a non-medical issue:

  1. Associate the SSA-561-U2 and any related material with the folder.

  2. Forward to a reconsideration DE for processing.

2. Medical issue

For reconsideration of a medical issue:

  1. Associate the SSA-561-U2 and any related material with the folder.

  2. Forward to the appropriate DDS for processing.

C. Procedure - hearing

If a hearing is held, associate the HA-501-U5 and any related material with the folder and send to the appropriate hearing office.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0440510180
DI 40510.180 - Processing Appeal Requests - Premium Medicare Cases - 03/29/2013
Batch run: 03/29/2013
Rev:03/29/2013