Focus on resolving the problem(s) identified in the screening process. Review the
claim’s material related to the problem identified.
Ordinarily, the CS review is limited to:
Applicable queries (e.g., MBR, Payment History Update System (PHUS), etc.);
The transmittal screen; and
The current claims determination action.
NOTE: Review of the Decision Input (DECI) screen, Interface (INTE) screen, Check/Notice
2 (NOT2) screen, and Notice 3 (NOT3) screen is discretionary.
Indicate that you performed a limited review on a District Office Final Authorization
(DOFA) claim. Annotate the claims file electronically with the remark “CS/LR”, the CS's initials, and the date you completed the review.