Leo files a disability claim, alleging anxiety and knee pain. 21 days have passed and the forms haven't been returned. Who should you contact about getting the forms back?, A. Just Leo, B. Leo and his third party, Cristiano, C. Leo's doctor, D. Leo's mom, from the prior claim, You decide to call both Leo and Cristiano. Neither of them answer and you leave a message for both. Now what?, A. Wait for due process then close the case, B. Write the case up to the MC, C. Send a call in letter to Leo, D. Send a call in letter to Leo and Cristiano, Leo calls you after receiving the letter. He says he never got the forms, so you resend them. He sends them back, and you realize you need a psych CE. It's scheduled, but there's no response to the scheduling letter, and the CE is coming up. What do you do?, A. Call Leo and Cristiano, B. Cancel the CE, C. Wait and see if he fails the CE, D. Ask the CE provider if they have heard from Leo, 4: When you call Leo, he says he received the CE letter but forgot to return it. You confirm the details, and he says he will attend. Do you need to send the CE notice letter again?, A. Yes, policy requires it, B. No, but it's a good idea for customer service, C. You didn't talk to Cristiano, so it has to be sent to him, D. Yes, his mail delivery person clearly doesn't like him, The day of the CE comes and Leo does not attend. What do you do now?, A. Close the case, B. Call Leo and leave a message then close it if he doesn't call, C. Call Leo and Cristiano and leave a message, then close the case if you don't hear from them, D. Call both and leave a message, and send a letter to both, You're about to close the case and realize you never sent a letter to Cristiano, only to Leo. Now what?, A. Send the letter to Cristiano and wait for due process, B. Close the case, C. Call Cristiano and leave a message, D. Send a letter to Leo, Leo calls on the last day of the due process for the letter for Cristiano. He says he went to a new doctor. What do you do?, A. Request the records for the new doctor, B. Request the records for the new doctor and reschedule the CE, C. Request the new records, ask Leo why he missed the CE, and consider rescheduling the CE, D. Do nothing - it's too late, You finally have all of the records, Leo went to his rescheduled CE, and all of the RFC/MRFC assessments are complete. It's time to do the vocational assessment. You realize you need more information about Leo's past work as a youth soccer coach. You try calling him, but there's no answer and his mailbox is not accepting messages. You call Cristiano and leave a message. What's next?, A. Make your best guess at which job applies in Occubrowse, B. Send a call in letter to Leo, C. Send a call in letter to Cristiano, D. Send a call in letter to both Leo and Cristiano, Leo never calls in response to the letter, nor does Cristiano. What is your final determination?, A. Med-voc allowance based on your best guess from Occubrowse, B. Med-voc denial, C. Insufficient Evidence, D. No Determination to the FO
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