DI 43535.030 Receipt of Requested Evidence
The examiner will review the medical reports and test results to determine that the
evidence the foreign country requested has been obtained. The examiner will verify
that work billed for is, in fact, contained in the evidence. If a CE has been requested,
and evidence is missing, for example, the EKG tracing is not included with the cardiac
interpretation, or a specified test has not been conducted, the examiner will recontact
the DDS for the missing information.
NOTE: Where a prior disability claim is attached to the blue jacket totalization folder,
the examiner will also review the medical evidence to determine if a reopening is
warranted. If a reopening is indicated, existing instructions in DI 42001.001-DI 42001.020 will apply. If a continuing disability issue is raised, see DI 43535.020.
When the examiner has verified that the foreign agency's medical request has been
satisfactorily concluded, the examiner will then complete item 5 of the SSA-1278-U3.
This form is a request for reimbursable expenses under the international agreements.
The form will be bilingual, and each country will have its own individual designation:
Italy--SSA-1278-U3-IT (See Ex. 7)
Germany--SSA-1278-U3-GE (See Ex. 8)
The SSA-1278-U3 will be in the totalization folder with items number 1 through number
4 completed when the folder is sent to the disability examiner for medical development.
The examiner will list in item 5 the expenses received from the DDS for one or more
of the following: (1) MER, (2) examinations, (3) related tests, (4) x-rays, and (5)
applicant travel expenses. The examiner will sign and date the form, and return the
folder to the totalization module for completion of all remaining actions on the foreign
request. If the DDS fails to provide a breakdown of the cost incurred in obtaining
the evidence, the FDE will forward the SSA-1278-U3 to the earnings review examiner
for cost development.
The totalization module will affix the seal of the Department of Health and Human
Services to the SSA-1278-U3 form before submitting the expenses to a foreign agency
for reimbursement. It is, therefore, essential that the disability examiner certify
that the services for which the foreign agency is billed are in file.