If the disabled widow(er) filed in the month of the number holder’s (NH's) death,
alleging a disability onset date well before the waiting period for entitlement in
the month of death, and the evidence does not establish a precise date but does establish
disability before the beginning of the waiting period, check the onset date eView
or the paper SSA-831, (Disability Determination and Transmittal).
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In such cases, eView or the paper SSA-831 may show an onset date exactly 5 months
before the NH's death and preceded by “at least by.” Unless the NH died on the first
day of the month, such an onset date does not permit payment for the month of death
because the first month shown by the Disability Determination Services (DDS) cannot
be counted as part of the waiting period (i.e., it is not shown to be a full month
of disability).
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In this situation, if the evidence in file clearly indicates that an onset on the
first day of the month established by the DDS is reasonable, telephone the DDS to
see if the onset date should be revised and document the file in accordance with its
response.
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Use this procedure only when it is necessary to prevent the loss of a month's benefit
or the loss of a month's health insurance (HI) protection.
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Referral to the DDS for a revision of its determination of the date of onset is necessary.
Make the appropriate entry in the Electronic Disability Collect System (EDCS) or item
41 (remarks) of the paper SSA-831. Changing the date of onset to any date in an earlier
calendar month is not authorized by these instructions.
Use PC Paperless to transmit the claim to the servicing Program Center (PC),utilizing
the paperless barcodes of "CLAIM MED DWB - Initial Claim - Medicare DWB" or "CLAIM
INT DWB - Initial Claim -DWB".