The role of the PC is generally limited to payment effectuation activities. However,
other PC technicians conduct limited reviews. Any PC review, either pre- or post-adjudicative,
is limited to the issue or evidence in question. If there is an error on the face
of the evidence, see GN 04010.020.
Refer to GN 01010.285 for cases where the Benefit Authorizer (BA) refers a claim to a claim authorizer
(CA). The CA review is limited to the resolution of the issue identified. However,
the CA can take corrective action within the rules of reopening; see GN 04001.010 for more information.
NOTE: Remember that a full PC review is required if the claim is a non-DOFA case.