TN 158 (04-24)

GN 04440.020 The Scope of Quality Review (QR) for Certified Electronic Folder (CEF) Cases

A. Current folder (no prior folder)

Most disability claims are established in the Electronic Disability Collect System (EDCS) and the CEF is the agency's official record.

When one or more claims are established in EDCS but one or more claims are EDCS exclusions, an electronic folder exists – but this is not a CEF.

CEF cases

Federal quality reviewers, regional medical contractors (MC), and psychological contractors (PC) consider all evidence in the CEF to evaluate the accuracy of the adjudicating component’s disability determinations.

B. Prior folder(s) exists for current claim

Prior folder is a CEF case

Review the prior CEF to determine if it affects the review of the current claim.

NOTE: Please refer to operating instructions in DI 81020.010 Paper Folder Indicators (PFI) for detailed information regarding PFIs and Prior Paper Folder Indicators (PPFIs).


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204440020
GN 04440.020 - The Scope of Quality Review (QR) for Certified Electronic Folder (CEF) Cases - 04/23/2024
Batch run: 04/23/2024
Rev:04/23/2024