Medical Reactivation is done using eView. To reactivate a claim:
Enter the SSN on the Case Selection screen and select the claim to reactivate.
REMINDER: The claim must be in the most recent CEF case and have a status of “closed,” “transferred,”
or “manually cleared.” Reactivation only works when there are no pending cases in
Lock the claim using “Edit (Lock Case)” in eView;
REMINDER: Cases automatically open in eView for viewing only (i.e. in “unlocked” mode). To
edit a case in eView, the case must first be “locked.” For more information on locking
and unlocking a case in eView see DI 81001.040 Editing a Certified Electronic Folder (CEF) in eView.
Click on the Case Status/History tab;
Click “Reactivate” on the Case Status/History screen. The Reactivate Claim screen
will display claims available for reactivation;
Select the claim to reactivate;
Key the reason why a Medical Reactivation is needed. For example, Developing for an
earlier onset date, FO modified the date last insured, or Incorrect Regulation Basis
Code on 831 dated xx/xx/xx, SGA establishes a different onset date, etc.
NOTE: The FO must contact the DDS, DPB or FDU before they send a Medical Reactivation
to the DDS, DPB or FDU. The DDS, DPB or FDU must agree with the FO to medically reactivate
Medical Reactivation is only permitted on a claim with a medical determination in
the most recently closed CEF case. A case is defined as all of the claims filed/adjudicated
at the same time. For example:
John Smith has two disability cases and both are CEFs.
Case 1 - DI and DIB claims filed in January 2006. Both claims were medically denied
in March 2006.
Case 2 - DI and DIB claims filed in January 2007. Both claims were medically denied
in April 2007.
Since Medical Reactivation can only be performed on the claims in the most recently
closed CEF, the user can only medically reactivate the claims in Case 2, the case
that was closed in April 2007. Either the DI or DIB claim, or both, can be medically
reactivated. Claims that were closed in March 2006 cannot be medically reactivated
because they are not part of the most recently closed CEF case.
NOTE: Claims that were technically denied by the FO cannot be medically reactivated. Instead,
FOs will use the Technical Reactivation utility in EDCS per DI 81010.110.