Types of ADL's
Forms
Misc.
Abbreviations
Q and A
100

The questionnaire that DDS sends to every clmt, about their functions.

What is a 3373?

100

What 2 forms can a clmt receive for their dependents?

What is the #4 and #11 forms?

100

What is the title of the person who gather all the MR's for the Doctors at DDS?

Who is the Examiner?

100

Alleged on-set date

What is AOD?

100

Name the difference between SSI and SSDI?

Social Security Disability Insurance (SSDI) is a program based upon contributions made by individuals working and paying into Social Security.

Supplemental Security Income (SSI) is a separate program administered by Social Security and funded by general federal tax revenues. It pays monthly benefits to the elderly, the blind and people with disabilities who have low income and few material assets.

200

What determines if the clmt completes the 3369 during the IC.

If the clmt had 1 job during the past 5 years 

200

Which 2 forms go hand in hand? They are always sent together? 

(Hint only 5 states offer this and or if you were hurt on a job) 

What is SDIB and WC's

546/1709

200

How many pages are usually sent with the Iclaim?

What is 7-14 pages?

200

Date last physically worked 

What is DLW?

200

What are our fees?

For Allsup customers who have been awarded, we charge a one-time percentage of your retroactive (back) benefits. SSA sets the cap at $9,200, or 25%, whichever is less.

300

This office in the branch of SSA sends out the ADL's.

What is the DDS office?

300

This form is the relationship between the clmt and us at Allsup.

What is the 1696?

300

Explain what DLI means?

The date last insured (DLI) is the last day of the quarter a claimant meets insured status for disability or blindness.

300

What is also know as SSA's on-set date?

What is EOD?

Established on-set date 

300

What are considered life changes?

Marriage, birth, death, divorce 

400

 True or False:

If the clmt completed the ADL's during the IC, they do not have to complete them during the Recon?

False 

400

This form is sent to get auth to get MR's 

What is an #827?

400

What are a few reasons why a CE may be ordered?

Not getting MR's, controversial MR's and need a 3rd party's point of view. To "fill in the blanks"

400

UWA?

Unsuccessful work attempt, clmt tries to go back to work but cannot. 

400

What are somethings that could be asked to be presented during the iclaim?

Birth Certificate, W2s, Medical records, 3rd party contact information

500

Name 5 different types of ADL's 

What is:

Fatigue

Pain

Exertion

Headaches

Migraines

Anxiety 

Function

Work History   

500

If SSA sees earnings after the onset, they might send the clmt this.


Bonus points for which task to set

What is an 820/821?

Bonus:4154 (Supp forms task)


500

If the clmt's AOD is 9/21/19 and SSA agrees and states their EOD is 9/21/19, what is the DOE?

Bonus MOD

DOE is 3/21/20

MOD 3/21/22

500

Name the 3 different types of CC's?

What is:

Claims Consultant

Client Company

Conference Call  

500

What do you do if DDS states they don't have our 1696 on file?

We need to resend the 1696 to SSA, who will send it to DDS. The task is #5387