A benefit authorizer in ODO will sort the offline case control output, based on location
of the claims folder. The output will be sorted by internal ODO locations (functional
and modular operations), PSC's and field locations DDS's, DO's, Disability Quality
Branches—DQB's, ODAR, and Federal Records Center—FRC). Output for folders in ODO and
the PSC's will be forwarded to the responsible component for association with the
related case folder and subsequent action. For all locations other than ODO or a PSC,
ODO will make a teletype request for action by the servicing DO/BO.
Disability examiners in ODO and the DRS should review the folders which are in ODO
or a PSC, to determine whether current payments are correct. DO's will review any
folders which are in a field location (see GN 02201.001).
These procedures deal with a termination of payments after a period in which something
may have occurred to justify current payments, e.g., the ALJ may have established
a subsequent period of disability or a date of cessation different from the date established
by the DDS, the AC may have reversed the ALJ's unfavorable decision to a continuance,
or current payment may be based on a subsequent claim. Therefore, it is essential
that the folder be reviewed by someone who can interpret the hearing decision and
any subsequent action, to make certain that a termination of benefits is in order.
This folder review will eliminate any improper terminations which might result based
strictly on a review of systems documents on an SSN.