All DRS disability determinations on claims in which medical factors are considered and all joint freeze determinations prepared by the RRB and countersigned by the DRS are subject to review.

• •

  Dual eligibility, joint freeze and financial interchange claims,

• •

  Claims filed by career railroad employees and annuitants, their disabled dependents, and disabled dependents of deceased railroad employees,

• •

  Favorable and unfavorable medical or medical/vocational disability determinations,

• •

  Initial, reconsideration, continuing disability review, and reconsideration of continuing disability review determinations.