Office of Appellate Operations (OAO) will contact the Office of Central Operations (OCO) or the Program Service Center (PSC) to request payment action if a final decision is not issued within 110 days after the favorable administrative law judge (ALJ) decision. OAO will fax a “potential interim benefit case” information sheet to the appropriate OCO or PSC paperless system.

If a start order is not received to initiate interim benefits, see DI 42010.225A.

Listed below are the PSC paperless system fax numbers.

• •

  Northeastern Program Service Center (NEPSC-PSC 1): 877-385-0640

• •

  Mid-Atlantic Program Service Center (MATPSC-PSC 2): 877-385-0644

• •

  Southeastern Program Service Center (SEPSC-PSC 3): 877-310-6767

• •

  Great Lakes Program Service Center (GLPSC-PSC 4): 877-311-5797

• •

  Western Program Service Center (WNPSC-PSC 5): 877-310-7807

• •

  Mid-America Program Service Center (MAMPSC-PSC 6): 877-311-8738

• •

  Office of Disability Operations (ODO-PC 7): 877-385-0643

• •

  Division of International Operations (DIO-PC 8): 877-385-0645

NOTE: Office of Central Operations (OCO) includes ODO Processing Center (PC) 7 and DIO PC 8.

OAO provides OCO or the PSC with a completed information sheet titled “potential interim benefit case.” For an example of this form please see DI 42010.210D. The form will contain the following information:

• •

  Social security number (SSN) of record,

• •

  Any known cross reference social security numbers,

• •

  Type of claim (Disabled Adult, Child, or Spouse),

• •

  Date of the ALJ decision and the ALJ’s name,

• •

  Date of onset established by the ALJ,

• •

  Individual's name, address, date of birth, date of application, telephone number, and payee information,

• •

  Name, address, and telephone number of attorney or representative (if applicable),

• •

  Information regarding workers' compensation or other Public Disability Benefit (PDB) offset payments (e.g., civil service),

• •

  Name, position title, and telephone number of the OAO contact authorizing interim benefits,

• •

  Proof of military service if applicable,

• •

  Earning or self-employment not posted to the earnings record,

• •

  Prison confinement and conviction information if available,

• •

  Office code and phone number of the field office contacted to initiate Supplemental Security Income (SSI) payments in concurrent case situations, and

• •

  Last month of eligibility to interim benefits if SSA made a final decision on the issue of disability.

NOTE: OAO obtains leads for workers' compensation and public disability benefits from responses to the SSA-16 (Application for Disability Insurance Benefits) (e.g., question 24) or the presence of an SSA-546 (Workers' Compensation/ Public Disability Benefit Questionnaire) in file. Recorded on the SSA-546 you will find payment amounts, date of payment, etc. In an electronic claim, information similar to the SSA-16 and SSA-546 would still be in file.

When the “potential interim benefit case” information sheet is received in OCO or the PSC, refer to DI 42010.215B and DI 42010.215C for claims specialist and benefit authorizer interim benefit processing responsibilities.