Case Study Claimant

Mr. Williams applied for Supplemental Social Income (SSI), on August 3, 2015. The Office of Appeals verified with the SSA that Mr. Williams received an unfavorable disability decision, and he currently has a pending claim. Until this unfavorable disability finding is changed by the SSA, DOM must abide by the SSA decision. Accordingly, the RO’s decision is supported by substantial

Claimant Josue Lopez alleges after he had graduated from the Imperial Sheriff’s Academy in June 2015 he was assigned as a Correctional Officer to Medical Department where he felt comfortable knowing that fellow Correctional Officers were there if he needed help with an inmate. The claimant said when he was at the Medical Department he was free and clear of any emotional or work-related stress until he was transferred to the Inmate Day Reporting Center in March 2015.

After the hearing, Ms. Carter’s case was forwarded to DDS for review. DDS adopted the federal decision dated July 20, 2017, stating that Ms. Carter was not disabled for Medicaid purposes. Until this unfavorable disability finding is changed by DDS, DOM must abide by the DDS decision. Accordingly, the RO’s decision is supported by substantial evidence.

To sue in small claims court is required to find out whether your claim are meeting the

J.C., is a 41 year old female with a history of bipolar disease, who presented to the psychiatric department by EMS activated by shelter staff. She was brought in since she was presenting with manic behavior and psychotic thoughts. She currently lives in uptown Manhattan in an independent home but previously lived in a women’s shelter. She returned to the shelter, where she spoke words of retaliation and guns, and talked about her acquaintances at the shelter and her ex-husband however, she did not speak of any plan. The staff called EMS reporting this behavior and EMS then brought her to the hospital. On admission, she reported walking to and from Manhattan and the Bronx. She also has psychomotor agitation and has difficulty sitting down. She reports not taking her psychotic medication for the past 9 months. In addition, she reports no suicidal ideation, and has no history of violence. She also reports using substances such as marijuana, cocaine, and alcohol. She also smokes ¼ pack of cigarettes a day.

Per medical and mental health records and consultative examination (CE) (2010-2011), he was evaluated multiple times for acute back pain radiating down the left lower extremity. He had back spasms and tenderness; the pain was controlled with medications. He ambulated using a golf club for a cane, was homeless and lived in a park. He did not have a job and received food stamps. Radiological examination (2011) showed a bulging disc in the lower back that affected a nerve.

Upon interview with the client admitted to having ran away previously but did not disclose the reason behind her runaway behaviors. Client also disclosed constant feelings of hopelessness and depressed mood as well as experiencing hypersomnia and loss of appetite. When asked about onset, client responded that she had been feeling like this ever since she can remember. Client described these feelings as having a rain cloud hanging

Upon completion of reviewing your letter in regard to the dates of service January 19, 2017 – January 24, 2017 claim processing. You ask for confirmation that the patient account is accurate and the claims were processed accurately. Moreover, any discrepancy identified requires that you send the related documents and payment if applicable to CareFirst.

The claimant was a 54 year old male who alleged disability because of spinal cord injury and depression. He reported that he had problems sleeping because of severe pain. He had difficulty with most activities of daily living (ADLs), could not stand longer than 15 minutes, could not walk long distances, could not lift at all and could not bend. He also had difficulty with memory, concentration, understanding and following directions, and completing tasks. He had issues with anxiety and did not like to be around many people. He was forgetful and needed reminders to take his medications.

On July 21, 2015, a phone hearing was held before Administrative Law Judge Thomas Burden to determine if the Claimant was disqualified for UIA benefits due to the issue of quitting work at Summit Dental Group or being fired.

This 57 year old claimant is filing a Concurrent claim alleging disability since 07/31/2014 due to osteoarthritis, degenerative disc disease, pain in the low back, hips, and spine.

The claimant also testified that she has lower back pain that goes down both legs but there has been no discussion of back surgery. She has used a CPAP machine for the last three months or so. The CPAP has not affected her seizure activity. She can lift/carry five pounds, stand about one hour, walk for two to three minutes before getting out of breath, and sit 30-60 minutes before has to get up. She lies down most of the time, sleeping. She sleeps 12-14 hours a day in the bed. The other 10-12 hours she is in a recliner watching her kids, ages 5-12. She lives with her sister. She stated that she read novels approximately 30 minutes a day. She watches TV with the kids. Watching TV sometimes gives her a migraine. She will go with her sister to the grocery store once a month. She rides a motorized cart. She was last in the hospital for mental issues at the beginning of the year or end of the last years. She was at OMC Neuroscience for mental

A review of the record does tend to support the insurance company’s opinion that it is unlikely that the current treatment will bring about significant changes in the near term. In fact, the member herself very eloquently described her current level of functioning in her appeal letter dated 01/22/2016. She noted that over the Christmas holiday she was able to utilize the skills and medications she had received to that point to calm herself down when she had urges to self-harm. She, herself, noted that she was able to allow herself to heal. She noted that she was also working on her GED

This 38-year-old claimant is filing a concurrent claim alleging disability due to lung cancer, vision issues, and multiple other medical conditions.

She explained that the two separated for a few months, but counseling was helpful. The patient denied any suicidal or homicidal ideation, intent, or history of attempts. She also denied any previous psychiatric diagnosis, hospitalizations. The patient denied a history of hallucinations or