Medicare Blog

how ssa field office's correct medicare records

by Anastasia Wilkinson Jr. Published 2 years ago Updated 1 year ago
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Every SSA

Social Security Administration

The United States Social Security Administration is an independent agency of the U.S. federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for most of these benefits, most workers pay Social …

or other government employee who receives medical evidence of record (MER), must place the following statement on the invoice: "I certify that this medical evidence was received by me." The SSA or other government employee must sign and date the invoice below the statement.

Full Answer

Where can I find Social Security Administration Information?

Social Security Administration: A periodic extract of information in Detailed Office/Organization Resource System (DOORS). It is also supplemented with our 1-800 telephone number to match the Social Security Office Locator information. The Office of Operations updates the DOORS information as needed.

Does Social Security have a records management program?

Social Security Administration's Records Management Program Our Records Management Staff, located in the Office of Systems, maintains and oversees agency policies and procedures for the disposition of records within our agency. We are committed to adhering to National Archives and Records Administration (NARA) guidance and policies.

How do I contact social security electronic records Express?

Just call the Social Security Electronic Records Express Help Desk at 1-866-691-3061. This number will be staffed from 7am – 7pm EST, Monday thru Friday. After hours questions about new ERE account registration may be emailed to electronic-records-express@ssa.gov.

How are Medicare wages and tips calculated for Ty 1983-1990?

For TY 1983-1990, the Medicare Wages and Tips field equals the sum of the Social Security Wages field and the Social Security Tips field when the RW Record has Social Security Wages and/or Social Security Tips greater than zero.

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Is Medicare and SSA the same?

Social Security offers retirement, disability, and survivors benefits. Medicare provides health insurance. Because these services are often related, you may not know which agency to contact for help.

How do I correct my Social Security information?

You can report your change online at www.socialsecurity.gov, or by calling toll free at 1-800-772-1213. If you're deaf or hearing-impaired call TTY 1-800-325-0778. Mail the information to your local Social Security office or in person if you prefer.

What does it mean when SSA says a medical decision has been made and we are working to process your benefit application?

Essentially, this status message means that the SSA has made a medical decision about whether or not you are disabled, but they're not going to tell you what that decision is yet.

How do I pass a continuing disability review?

If you want to keep yours, here are some tips on how to pass a continuing disability review:Follow Your Treatment Protocol. ... Learn More About Your Condition. ... Answer the Short Form Honestly. ... Keep Copies of Your Medical Records. ... Inform the SSA of Any Change in Address.

Does SSA make mistakes?

Incorrect payments happen for a number of reasons: The SSA might be at fault — a computational error, or a failure to obtain or act on information relevant to a recipient's eligibility or benefit amount.

How long does it take for Social Security to correct a mistake?

30 to 90 days“Usually what I've found is that you'll get an appointment to state your case within a couple weeks, and corrections will take 30 to 90 days.” To make that initial appointment, clients can call the SSA at 1-800-772-1213.

When Social Security says a medical decision has been made?

It means you were approved. The non-medical is just an SSI financial review. For hearings, there is one extra step. After the judge, makes a decision, the judge will send the decision to some people called decision writers.

What does it mean when SSA is processing the medical portion of your claim?

What does this mean? The Disability Determination Service for your state is processing the medical portion of your benefit application. If they need additional information or evidence from you, they will contact you directly.

What does it mean when they say a decision has been made?

It means exactly what it said, that a decision has been made on your case. You will be receiving notice as to what that decision is via mail. At that point you will know if the claim was approved or denied and if you disagree with what was decided your appeal rights must be done in 60 days from the letter. More.

What triggers a continuing disability review?

Triggered CDRs In addition to the regularly scheduled CDRs, the SSA may conduct a continuing disability review in any of the following situations: You return to work. You inform the SSA that your condition has improved. Your medical evidence indicates that your condition has improved.

How often does SSA review disability?

Expected, we'll normally review your medical condition within six to 18 months after our decision. Possible, we'll normally review your medical condition about every three years. Not expected, we'll normally review your medical condition about every seven years.

What triggers a disability review?

We'll evaluate all evidence about your condition. If you have more than one disabling condition, we'll consider the combined effect of all your impairments on your ability to work. The frequency of reviews depends on the nature and severity of your medical condition and whether it's expected to improve.

What is the SSA field office?

SSA Field Offices generally offer the full range of SSA services. Services include: applying for new or replacement Social Security cards; applying for Social Security and Supplemental Security Income benefits; making changes to your benefits information; and helping Medicare beneficiaries with limited income and resources apply for extra help with the cost of their prescription drugs under the Medicare Prescription Drug Program. Many of these same services are available on the Social Security website or through our toll-free service, 1-800-772-1213 (Voice) or 1-800-325-0778 (TTY).

What is SSA resident station?

An SSA Resident Station is a very small facility in remote areas, such as at a community center, nursing home, etc. Resident Stations have more limited services and hours of operation, and are staffed by a small number of employees.

A. Introduction for the field office remittance process

The Social Security Administration (SSA) field offices (FOs) may receive checks, money orders, debit/credit card or cash from the general public for a variety of reasons, including programmatic debt (the most frequent type) and Medicare premiums. We do not accept cash for standard fees for SSA services.

B. Process for automated receipts

All funds received in an FO require a DMS automated receipt. When the FO receives a remittance it will send to MATPSC for deposit, DMS generates a coupon, which the FO sends to the MATPSC. The coupon bears the receipt number and other pertinent information the MATPSC uses to credit the account with the payment.

C. Process for manual receipts

We restrict the use of the Form SSA-1395-BK (Receipt Book) receipt to remittances received outside the FO or when DMS malfunctions.

A. FO completes the SSA-3367

Complete one entire paper form for multiple or concurrent EDCS exclusion claims.

B. Form SSA-3367 supplemental instructions for specific claim types

Document information properly as it could affect the claimant’s entitlement to benefits for the claim types described in this section. For each of the following claim types provide the following:

C. References

DI 25501.380 Establishing the Established Onset Date (EOD) of Statutory Blindness in Title II Disability Insurance Benefits (DIB) Claims

Who provides health records to Social Security?

Anyone who provides health or school records to Social Security or the DDS, such as: Medical providers (including hospitals, clinics, doctors and health information managers); School professionals ; and. Third parties, such as attorneys and claimant representatives.

How to contact Social Security Electronic Records Express?

Just call the Social Security Electronic Records Express Help Desk at 1-866-691-3061. This number will be staffed from 7am – 7pm EST, Monday thru Friday. After hours questions about new ERE account registration may be emailed to electronic-records-express@ssa.gov.

What is electronic records?

Electronic Records Express is an initiative by Social Security and state Disability Determination Services (DDS) to offer electronic options for submitting health and school records related to disability claims. When you receive a request for health or school records or other information about a person who has applied for Social Security disability ...

Can you save time by transmitting your Social Security records electronically?

In fact, you may save time and money by transmitting your records electronically. How secure is Social Security's Electronic Records Express website? The website has restricted access. Only authorized users can access the secure website by using their assigned user ID and password.

What is the TY of Medicare wage report?

The TY of the wage report is 1983-1990, and the value of the Medicare Wages and Tips field on one or more RW Records or RCW Records is not equal to the sum of Social Security Wages field plus the Social Security Tips field.

What does it mean when your RW records show names and/or SSNs?

A high percentage of failure may indicate a strong probability that the incorrect names and/or SSNs were due to a data processing error.

What is a four position identifier?

A four position identifier which further distinguishes the employer report in an RE Record determined by the employer which may be used to designate various store or factory locations or types of payroll when a file contains multiple RE Records with the same EIN. Select the browser's back button to return.

Is the TY field in a RE record the current TY?

The TY field in the RE Record is not the current TY and the value of the Social Security Wages field in a number of RW Records is equal to the Social Security maximum for the current TY.

Does the wage report have RW records?

The wage report did not contain any RW Records or RCW Records and at least one money field on the RT Record or RCT Record was greater than zero or not blank.

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