Follow up Question for Jack on Form Advice

[newuser]

Jack:

Thanks for your input on the SSA-455 and the suggestion to add the
doctor visits that exceed the three visits for which boxes are
provided. In a 2006 post you wrote that "Adding remarks/attachments
will cause the technician to kick it out to a disability examiner or
disability consultant, but that isn't necessarily a bad thing." Will
this happen to the form if we add remarks or a sheet just to provide
the additional doctor's visits that exceed 3 visits as you suggested
that we should do? If the claimant is a low is this still advisable
even if it results in the mailer being sent to an examiner or
consultant for further scrutiny? I notice some claimants and
consultants online saying that if the SSA wanted all the visits they
would have sent the longer form because most people have numerous
visits?

Also, in another post you mentioned the 5% integrity sampling, does
that apply to all of the mailers received or only to the ones that
require PC review? In other words if a mailer is in the pile that is
processed by DCDRS to completion does it still have a 5% likelihood of
resulting in a full cdr due to integrity sampling or is that only for
mailers that require further review?

Lastly do all forms go to a human eventually to decide whether to
accept the computer's decision or do the majority of forms which are
processed to completion by the computer never get to a human?

I am trying to help a relative and we are very appreciative of your
advice.

Thanks again, Jack.

Newuser

[Six String Stu]

Post by newuser
Thanks for your input on the SSA-455 and the suggestion to add the
doctor visits that exceed the three visits for which boxes are
provided. In a 2006 post you wrote that "Adding remarks/attachments
will cause the technician to kick it out to a disability examiner or
disability consultant, but that isn't necessarily a bad thing." Will
this happen to the form if we add remarks or a sheet just to provide
the additional doctor's visits that exceed 3 visits as you suggested
that we should do? If the claimant is a low is this still advisable
even if it results in the mailer being sent to an examiner or
consultant for further scrutiny? I notice some claimants and
consultants online saying that if the SSA wanted all the visits they
would have sent the longer form because most people have numerous
visits?
Also, in another post you mentioned the 5% integrity sampling, does
that apply to all of the mailers received or only to the ones that
require PC review? In other words if a mailer is in the pile that is
processed by DCDRS to completion does it still have a 5% likelihood of
resulting in a full cdr due to integrity sampling or is that only for
mailers that require further review?
Lastly do all forms go to a human eventually to decide whether to
accept the computer's decision or do the majority of forms which are
processed to completion by the computer never get to a human?
I am trying to help a relative and we are very appreciative of your
advice.
Thanks again, Jack.
Newuser

Wow
Well researched and consise. Great job!
5% integrity sampling happens even if completing processing by DCDRS.

[j***@gmail.com]

I've got my short form 455 and accidentally used lower case letters and wrote my number 1 differently than suggested. I called local office to ask for new copy and they sent me a long form. It doesn't have my info on it though. I want to just send in the short form still. Should I whiteout the lower case letters and rewrite it? Or leave as is and send in? If a computer can't read it, does it usually send me a long form anyway?

[Jack]

On Sat, 6 Mar 2010 09:28:33 -0800 (PST), newuser

Post by newuser
Thanks for your input on the SSA-455 and the suggestion to add the
doctor visits that exceed the three visits for which boxes are
provided. In a 2006 post you wrote that "Adding remarks/attachments
will cause the technician to kick it out to a disability examiner or
disability consultant, but that isn't necessarily a bad thing." Will
this happen to the form if we add remarks or a sheet just to provide
the additional doctor's visits that exceed 3 visits as you suggested
that we should do? If the claimant is a low is this still advisable
even if it results in the mailer being sent to an examiner or
consultant for further scrutiny? I notice some claimants and
consultants online saying that if the SSA wanted all the visits they
would have sent the longer form because most people have numerous
visits?

If your disability is based on multiple impairments, i.e., no single
impairment in itself is disabling, and your last three visits were for
a single impairment, then you want to show somewhere either on the 455
or a separate sheet your visits for the other impairments. Otherwise
it will raise the possibility that those impairments have improved as
you no longer seek treatment for them.

If your disability is based on a single impairment, then you can be
comfortable with showing only the three most recent. Listing all your
visits for the disabling impairments does not have negative
consequences or raise flags despite what other claimants and
consultants may have said.

Post by newuser
Also, in another post you mentioned the 5% integrity sampling, does
that apply to all of the mailers received or only to the ones that
require PC review? In other words if a mailer is in the pile that is
processed by DCDRS to completion does it still have a 5% likelihood of
resulting in a full cdr due to integrity sampling or is that only for
mailers that require further review?

The random selection is done prior to PC review.

Post by newuser
Lastly do all forms go to a human eventually to decide whether to
accept the computer's decision or do the majority of forms which are
processed to completion by the computer never get to a human?

Right up front a human in Wilkes-Barre checks for missing signatures
and blank answers to questions. Later on someone checks the responses
to question 5 of the scannable form as compared to the reg basis code.
After that, 80% are scanned and a decision of CDR vs. deferral can be
reached without PC review.

Post by newuser
I am trying to help a relative and we are very appreciative of your
advice.
Thanks again, Jack.
Newuser