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  MBR discrepancies;

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  Numident information (e.g., discrepancies in name, date of birth, and date of death);

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  MS or other data;

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  Underpayments, overpayments and uncollected annual earning test (AET) penalties;

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  Special Primary Insurance Amounts (PIA) computation factors (e.g., the Retirement limitation (RIBLIM), delayed retirement credits (DRCs) for survivor benefits or prior periods of disability);

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  Possible open applications;

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  Erroneous entitlements or terminations;

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  Adverse claims situations;

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  Multiple entitlement;

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  The effect of established work deductions or suspensions; or

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  Administrative finality and Res Judicata rule (e.g., technical denial code of 0S1 on the MBR).

When the prior claim was a type of claim which could be paid based on currently insured status (i.e., benefit identification code “BIC” “E”, “C”, or “G” claimants) and the MBR does not contain sufficient data to determine fully insured status, request a certified earnings record (E/R).

If the subsequent claim is a RIB claim filed after a prior denied DIB, treat the current claim as an initial claim and do not recall the prior folder information unless you need the material for information.

In some situations, the claimant can file a new claim while awaiting final determination on a previously filed claim.

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  See DI 10105.900 – DI 10105.907 for processing claims for other title II benefits when disability benefits have ceased and the beneficiary is receiving benefit continuation pending appeal.

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  See GN 03106.090 for processing subsequent disability claims when the individual has requested reinstatement while awaiting review of a prior termination.

For all subsequent claims, obtain a certified E/R computation and compare the E/R PIA to the MBR PIA. If the PIAs are different, evaluate the E/R and the MBR to identify the reason of discrepancy (e.g. lag earnings missing on the initial award, duplicate postings) and take necessary actions as needed. If after resolving the discrepancy, you determine that:

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  The MBR PIA is correct, process the subsequent claim via automated 101 (A101).

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  The E/R PIA is correct, process the subsequent claim via MCS EC and document the claims file (e.g. RPOC) with the rationale of PIA discrepancy and the actions taken. Alert the processing center (PC) of any overpayment or underpayment resulting from the PIA correction by recording the proper information in the remarks (RMKS) screen.

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    If after all efforts, you cannot resolve the PIA discrepancy and immediate payment is due, document your efforts and partially adjudicate the award using the lower PIA. See GN 01010.110 for partial adjudication process.

See GN 01010.050 for special considerations that apply in multiple entitlement situations (e.g. an Independently Entitled Divorced Spouse (IEDS) is already entitled RIB or DIB).

Reinstatement of a child beneficiary's entitlement that begins with the same month that the prior entitlement ended is not a subsequent claim requiring a new award. Instead, it is a resumption of former benefits (see RS 00203.080 or RS 00205.400). Such reinstatements may adversely affect other entitled beneficiaries and you must treat them as adverse adjustments.

If the only prior claim on an SSN was for the Lump Sum Death Payment (LSDP), treat the current claim as an initial claim. If a Number Holder (NH) dies before age 62 and she or he met all the other eligibility requirements in RS 00615.302, consider a WINDEX computation for the widow(er).

You are responsible for adjudicating subsequent auxiliaries in deferred development disability claims when the NH's claim is allowed. See DI 11010.030 for instructions for deferred title II disability claims.

Note: Do not attempt to trigger auxiliary claims until the system establishes the MBR for the NH.

Some prior title II entitlements may cause an MCS processing limitation, see MSOM MCSEC 001.007 for information about processing claims with prior entitlement via MCS EC. See MSOM MCSEC 001.001 for a list of MCS processing limitations and messages.

Refer to GN 03106.090 for procedures on handling subsequent claims filed on an SSN in which a district court decision is pending.