You must review, further develop (if necessary) and effectuate the award for the adverse
claimant that indicates a reopening and non-entitlement decision for a currently entitled or previously entitled beneficiary (i.e., voids
or totally defeats all entitlement).
If you determine that, the adverse claimant is not due benefits, process under normal
disallowance procedures and send the appropriate notice.
If your determination affirms the award for the adverse claimant, then take the following actions:
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Ensure the 30-day advance due process notice described in GN 01010.325B. is sent to the adversely affected beneficiary;
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Respond to any timely protest received (e.g., initiate additional development based
on the beneficiary's protest);
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Verify the adjudicative determination if necessary, considering any evidence submitted
or obtained with a timely protest;
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Provide the benefit authorizer (BA) with non-entitlement and benefit termination notice
language for the adversely affected beneficiary, including the reconsideration paragraph; and
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Advise the BA that you sent the advance due process notice and they need to process
the award determination and effectuation of benefits termination.