A beneficiary has questions concerning a pending reconsideration
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1.
Access the IRMAA Appeals
Tracking System
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2.
Select “Query Existing Appeal.”
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3.
Enter the Beneficiary’s Own social security number (SSN) and click on the search button.
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4.
Select “Query Record Details.”
The first screen in the path is the “General” screen. On this screen, the fields are:
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the filing date, which is the date the reconsideration was filed,
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the notice determination date, which is the date on the notice which they are appealing,
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the unit (if applicable),
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the status of the appeal.
To view more details on the appeal, select “Detail” at the top of the screen. On this
screen, the fields are:
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the reason for the appeal, which can be disagrees with the constitutionality of the
law, disagrees with level, non-qualifying event (NQE), or other,
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the date the appeal was reported to SSA,
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the event description, which can be initial determination, new initial determination-LCE,
new initial determination-tax information, or new initial determination-non qualifying
event,
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the date of the event, which is the date of the event being appealed, and
Remarks – this field will appear if remarks are present.
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5.
To view information concerning the beneficiary’s attorney or representative, select
“Attorney/Rep” at the top of the screen.
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6.
To view information concerning the history of the appeal, select "History" at the
top of the screen.
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7.
To view the final disposition of the appeal, select "Disposition" at the top of the
screen.
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8.
Inform the beneficiary if the reconsideration is still pending or if there is a decision.
You can inform the beneficiary what the decision is using the information provided
on the "General" and "Disposition" screen.
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9.
If the beneficiary still has questions about the reconsideration, set up an appointment
with the field office of jurisdiction in the Enhanced Leads and Appointment System
(eLAS) PE Appointment System using Event Type 9 "Medicare Issue" and select Event
Title 5 "Title 18." In REMARKS on the PE Appointment screen, explain that the beneficiary
has questions about his or her IRMAA reconsideration.
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The beneficiary states he has information to add to his pending reconsideration.
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1.
Access the intranet IRMAA Appeals
Tracking
System.
-
2.
Select “Query Existing Appeal”.
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3.
Enter the Beneficiary’s Own SSN and click on the search button.
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4.
Select “Query Record Details.”
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5.
The first screen in the path is the “General” screen. On this screen, the fields are:
-
-
-
•
the filing date, which is the date the reconsideration is filed,
-
•
the notice determination date, which is the date on the notice that they are appealing,
-
-
-
-
•
the unit (if applicable),
-
-
•
the status of the appeal.
-
6.
To view more details on the appeal, select “Detail” at the top of the screen. On this
screen, the fields are:
-
-
-
-
•
the reason for the appeal, which can be disagrees with the constitutionality of the
law, disagrees with level, or other
-
•
the date the appeal was reported to SSA,
-
•
the event description, which can be initial determination, new initial determination-LCE,
new initial determination-tax information or new initial determination-non qualifying
event.
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•
the date of the event, which is the date of the event being appealed, and the Remarks
if annotated.
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7.
To view the final disposition of the appeal, select “Disposition” at the top of the
screen.
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8.
Determine if the appeal is still pending based on information provided on the “General”
and “Disposition” screen.
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9.
If we have not made a decision, refer the beneficiary to the office of jurisdiction.
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