Wet Sigs/ Gov Confirm
Explain the Fee Agreement
25% of the backpay or $6000 whichever is less
What is the L1 timeline?
5-7 Months from the 1695 Accepted Date
What is the L3 timeline?
We are currently seeing hearings scheduled within 12 months of the request date. This is just a timeline.
What is the the timeline for Post Hearing, the AC and FDC
Post Hearing timeline is 1-4 months from record close. There is NO seat deadline in which the judge needs to make a decision. The AC timeline is 18-24 months. There is no timeline for FDC, typically it takes about 2 years.
Who is Andrew Youngman?
Andrew Youngman is the CEO and lead advocate of Citizens Disability. His name will appear on all documents received from SSA.
What is the online application summary? Can the client throw this away since we sent a copy of the watermarked application to them and they don't need two.
NO! Client needs to make all changes on the form, sign and return to SSA. They will not process the claim without this
Who makes the medical determination at this level?
DDS - Disability Determination Services
Does the client need to attend the hearing or will we show up on their behalf?
Will the client go before the AC? What is the process
No, the client will not be going in front of the AC. The AC (appeals council) is a group of judges who reviews the decision made by the judge and all information in file at the time of decision.
When did Citizens Disability first open?
2010
What is the time frame to be put on file, after submitting the rep docs
1-3 Months (30 to 90 Days)
What does DDS send the client to complete during this level?
ADLs - 3369, 3373, 3380, Headache Questionnaire, etc)
What is a VTC? Does a VTC mean that the client will skype from their home?
VTC - Video Teleconference Conference. A VTC is when the client and representative are in one location, while the judge appears by a screen
What is the fee agreement AFTER the first hearing? What do we also submit to SSA in order to be paid on the claim?
What is DNC? Who would you email for this?
DNC - Do Not Contact (Do Not Call). Email Nick and Nikki
Explain what the following is - You told us you did not want to apply for Supplemental Security Income
Informal SSI Tech Denial
What is a CE? Are all clients required to have one?
A CE is a consultative exam. This is when one of the doctors for SSA to look into the client's conditions. Not all client's are asked to have a CE, they are typically scheduled when they need more information in order to make a decision.
Will the client meet with the representative multiple times before the hearing?
The representative's job begins and ends at the hearing. They will be able to speak to the representative by phone one day prior. They will be in contact with the HT to prepare for the claim
Does Citizens handle FDC claims? If not, who does
Citizens works with an outside attorney named Karl Osterhout who specializes in FDC claims.
What is a 1695?
Representative document to get Andrew Youngman/Citizens Disability on the file
Client calls in indicating that their social security number is incorrect on the sigs. What do you do? Do you resend the sigs to the client on this
Ask the client for the correct social. Ask all security questions, build the app correction. No, you will not resend the sigs. Nikki will resend them once the claim is updated.
Client calls in stating that their claim was denied. Can we appeal this? What questions should you ask. What is the appeal deadline if we can
If a client calls in with a denial letter, you should always ask for the date on the letter and for them to read the first paragraph. IF the claim is a medical denial, we CAN appeal this. If it is a technical denial, it depends on the type. The appeal deadline is 60 days
What is the ERE? Why is this helpful
ERE is an electronic portal that allows us to give/receive information directly to the hearing office for a client. The ERE updates us with the current status of the claim to give us an idea of what is going on
What are the possible outcomes of the Appeals Council? What do each mean
Approval - Client would be awarded benefits. Denial - Client is unable to start receiving benefits, decision letter will be reviewed within 3-5 weeks for the best action going forward with the claim. Remand - The case will be going back before the judge in order for them to fix the errors that were found
What is Citizens Disability, what do we do?
Citizens Disability is an advocacy group who works to try and help get clients approved for Social Security Disability Insurance