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DI 13095: Exhibits for FO CDR Processing

Effective Dates: 06/06/2006 - Present

BASIC (03-86)

Why Review Was Made (Item 20 of SSA-833-U5 and SSA-832-U5)

01 Court Remand (Based on Social Security Disability Benefits Reform Act of 1984)
02 Reopened Mental Impairment Case (Based on Social Security Disability Benefits Reform Act of 1984)
03 Decision Reviews Required by the Social Security Disability Benefits Reform Act of 1984. Other Than Those Included in 01 and 02 Above
04 Medical Improvement Expected (Medical Reexamination Diary)
05 Medical Improvement Possible (3 Year Periodic Review Diary)
06 Medical Improvement Not Expected (5 Year Periodic Review Diary)
07 Medical Improvement Not Expected (7 Year Periodic Review Diary)
08 EPE Medical Review
09 Adoption Issue
10 TWP Diary Matured
11 Voluntary Report of Medical Improvement
12 Earnings Posted—Medical Reexamination Set
13 Earnings Posted—No Medical Reexamination Set
14 Voluntary Report of Work—Medical Reexamination Set
15 Voluntary Report of Work—Medical Reexamination Not Set
16 Third Party Report
17 State VR Report
18 Court Order (Other Than Medical Improvement—Individual or Class Member)
19 Post Transplant ESRD
20 Special (Use only when specifically instructed)
21 Other (If “Other” code used, indicate why review was made in item 24)
22 “301” Case Review Diary

For Possible Future Use (DO NOT USE UNLESS SPECIFICALLY INSTRUCTED)

00 Vocational Rehabilitation Diary Maturity (Not 301 Case)
23 Medical Improvement Expected (Medical Reexamination Diary)—Moratorium Case
24 Medical Improvement Possible (3 Year Periodic Review Diary)—Moratorium Case
25 Medical Improvement Not Expected (7 Year Periodic Review Diary)—Moratorium Case
26 EPE Medical Review—Moratorium Case
27 Voluntary Report of Medical Improvement—Moratorium Case
28 Third Party Report—Moratorium Case
29 State VR Report—Moratorium Case
30 “Clear Cut” Case—Moratorium Case
31 Expedited Reinstatement Case
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DI 13050: Expedited Reinstatements
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DI 130: Continuing Disability
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