In some cases, it is necessary for the review component to contact the adjudicating
component and request they take a corrective action after the case is pulled for sample selection, but before completion of the quality review. The review component may not be able to complete
an accurate and thorough review because necessary documentation is not present in
the case and the review component is not able to correct the issue themselves. These
types of TCAs include:
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Illegible or missing evidence
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When these TCAs occur, the review component will:
1. retain the case,
2. notify the adjudicating component contact found at OQR DDS
Contacts, by email, to request the necessary documentation be added to the file
3. request the adjudicating component add or secure the information requested within
10 business days.
4. continue the quality review as per normal policies and procedures once the information
has been obtained from the adjudicating component and/or added to the case file.
5. complete an SSA-847-U3 SSA Request For Case Action, and route the case to the adjudicating
component for correction, if the adjudicating component is unresponsive to the request
for necessary documentation or is unable to obtain the documentation within a reasonable
amount of time, i.e., 10 business days.