Show:
LETTERS
ONSET
INITIAL REVIEW
ATTACHMENTS
CLAIM TYPES
100
The letter sent to a doctor to request ALL medical records.
What is the 3 letter?
100
The earliest possible onset for a DI claim.
What is the FD?
100
The form that should be in file if a Representative is involved.
What is a 1696?
100
The attachment that asks doctors for range of motion.
What is a 102 form?
100
The claim type that we need to find the claimant disabled between age 18 and 22.
What is a CDB claim.
200
The letter sent to a hospital to request medical records.
What is a 24 letter?
200
The convergence of the AOD, MOD and date the claimant last earned SGA.
What is the EOD?
200
I need to check this form to be sure it is signed by the claimant and is dated within the past year.
What is an 827?
200
The attachment that asks a doctor about the claimant's chest pain.
What is a 55 form?
200
The claim type that has a prescribed period and a control date.
What is a DWB claim.
300
The cover letter AND form sent to the claimant to request ADL information.
What is the 72/3373?
300
The EOD if a claimant has a DI claim with a FD of 2/1/14, AOD of 1/1/14, and MOD of 1/1/14.
What is 2/1/14?
300
If there is work after onset, this form should be in file from the FO.
What is an 820/821 and 823?
300
The attachment that asks a doctor about the claimant's oxygen use.
What is the O2 form?
300
The claim type that is referred to as SSI.
What is a DI/DS or BI/BS claim?
400
The letter sent to schools to request special education records.
What is a 1323?
400
The EOD if a claimant has a DIB only claim with an AOD of 3/1/14, DLI of 12/31/15, POD of 6/1/14, and MOD of 3/1/14.
What is 6/1/14?
400
I review this form to get information about prior files, ALJ decisions, AKA's, and PUPS information.
What is a DIBWIZ?
400
The attachment that asks a physical doctor for a mini mental status exam.
What is a 23 form?
400
The claim type where benefits are based on the claimant's past earnings record.
What is a DIB claim?
500
The letter sent to request pharmacy records from Walmart, K-Mart or Okies pharmacies.
What is the PHARM letter?
500
The EOD for a claimant that filed a DIB only claim on 8/15/14 with an AOD of 7/1/14 and MOD of 7/1/14. He continued to work above SGA until 8/1/14.
What is 8/1/14?
500
I do this if I discover any additional allegations while reviewing the claim.
What is add them to the worksheet?
500
The attachment that asks a doctor about a claimant's seizures.
What is a 64 form?
500
A claim type that has a "waiting period".
What is a DIB or DWB?