GN 04440: Federal Quality Review of Disability Determinations
TN 14 (12-10)
Whenever you change any of the fields listed in this section and the Office of Quality Review legacy system has not designated the case as 831-enabled, you must send a copy of a corrected or review component prepared SSA-831–C3/U3 (Disability Determination and Transmittal) form to the Wilkes-Barre Data Operations Center (WBDOC) per GN 04440.150B. and GN 04440.150C.
A. SSA-831/32/33 DATA
SSA-831 FIELD(S) |
SSA-832/3 FIELD(S) |
|
---|---|---|
3 |
n/a |
Filing Date Indicates the date the claim is filed |
11 |
n/a |
Reconsideration Date Date of request for reconsideration of the Social Security Administration (SSA) decision |
15 & 19 |
9 |
Result of Determination Indicates whether the determination allowed or denied benefits |
15A. |
5 |
Date Disability Period Began Indicates Onset of Disability |
15B. |
9 |
Date of Cessation |
16A. |
21 |
Body System Codes Indicates the general type of impairment – e.g., respiratory system, cancer |
16A. |
21 |
Primary Impairment Codes Code that defines the primary disabling impairment |
16B. |
22 |
Secondary Impairment Code Code that defines the secondary disabling impairment |
17 |
23 |
Diary Indicates diary type, diary date, and diary reason |
18A. & B. |
9J. |
Blindness Indicator |
22 |
n/a |
Regulation Basis Code Indicates the SSA regulation on which the decision is based |
23 |
n/a |
Medical List Number Coded on “meets and equals” allowance decisions (See Code of Federal Regulation, Appendix 1, Subpart P) |
26 |
n/a |
List Numbers Used to track certain records – you can code up to 10 list numbers |
26 |
n/a |
Study List Code Used internally to identify special studies |
26 |
n/a |
Litigation Codes Codes that identify court case class membership – you can code up to 10 classes. |
34 |
n/a |
Capability Development Flag Indicates whether a claimant is capable to manage his or her own benefits |
34 |
9 |
Drug or Alcohol Addiction Indicates whether drug or alcohol addiction contributes to findings |
35 |
9 |
Adjudicative Decision Decision by reviewing component - e.g., affirmation, reversal |
B. SSA-832/33-ONLY DATA
SSA-832/3 FIELD(S) |
|
---|---|
1B. |
Continuing Disability Review Type |
10 |
Basis for Determination |
11 or 12 |
Reason for Continuance or Cessation |
20 |
Why Review Was Made (WRM) |