7. Processing Notice of Disagreements (NODs) or Substantive Appeal November 16, 2004 Change Date a. Processing Use the table below to determine the next steps when the claimant files an an NOD or NOD or substantive appeal relating to the denial of a claim for automobile Substantive and adaptive equipment allowance. Appeal If Then … … the disallowance resulted from the authorization furnishes the statement denial of basic eligibility of the case (SOC) and certifies the appeal when the substantive appeal is received. the claimant has established basic authorization transfers the claims eligibility to the automobile folder to the medical facility for allowance and adaptive equipment, preparation of an SOC, and and the medical facility returns the the issue is the result of SOC and claims folder to disallowance by the medical authorization for release of the activity for certain adaptive SOC. equipment a substantive appeal is filed because authorization forwards the claims of disallowance by the medical folder to the medical activity for activity processing and certification of the appeal.
7. Processing Notice of Disagreements (NODs) or Substantive Appeal Change Date November 16, 2004 a. Processing an NOD or Substantive Appeal Use the table below to determine the next steps when the claimant files an NOD or substantive appeal relating to the denial of a claim for automobile and adaptive equipment allowance. If … Then … the disallowance resulted from the denial of basic eligibility authorization furnishes the statement of the case (SOC) and certifies the appeal when the substantive appeal is received. the claimant has established basic eligibility to the automobile allowance and adaptive equipment, and the issue is the result of disallowance by the medical activity for certain adaptive equipment authorization transfers the claims folder to the medical facility for preparation of an SOC, and the medical facility returns the SOC and claims folder to authorization for release of the SOC. a substantive appeal is filed because of disallowance by the medical activity authorization forwards the claims folder to the medical activity for processing and certification of the appeal.