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Liam Cortez

Social Security recalculation nightmare - PIA amounts reduced without processing center review

I'm dealing with a complete mess trying to get my Social Security benefit calculated correctly. My PIA (Primary Insurance Amount) was initially shown at one amount, then got reduced when I filed over the phone. I was promised it would be recalculated, but that never happened. The worst part? I lost most of my 2024 COLA increase, and despite having higher earnings last year, my benefit amount didn't increase at all. When I checked my online account, it showed my application was both "evaluated" and "approved" ON THE SAME DAY! When I went to my local SSA office, the representative was shocked and told me my application was never sent to the processing center for proper calculation before approval - which she said was absolutely required. She advised filing for a non-medical reconsideration to force it through the proper channels. I filed the reconsideration about a month after my benefit award. When I checked back 6 weeks later, a different rep said their system showed it was at the processing center. However, my online account shows NOTHING about this reconsideration, even three months later. And now I can't even see my earnings statement online because it says I'm receiving benefits! I wish I could have delayed filing until this mess was sorted out, but I had already committed to retirement. Has anyone else dealt with a non-medical reconsideration for benefit calculation errors? Any idea how long this typically takes or what else I should be doing?

I'm a retired SSA claims specialist and can tell you that your situation is unfortunately not uncommon. The processing center review is absolutely critical for complex benefit calculations. Here's what's happened: your claim was auto-adjudicated by the system without manual review (this happens when offices are backlogged). Your reconsideration is the right approach. These typically take 3-5 months to process. The fact that the local office confirms it's at the processing center is a good sign. Don't worry about it not showing in your online account - reconsiderations often don't appear there. Make sure you've submitted all documentation that supports your earnings record and keep a copy of your original benefit estimates. If your local office has access to a Technical Expert (TE), ask to speak with them specifically about your reconsideration status.

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Thank you so much for this detailed explanation! It's really helpful to understand what's happening behind the scenes. I do have copies of my original benefit estimates showing the higher PIA. Should I bring those with me next time I visit the office? Also, how do I specifically ask for a Technical Expert?

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man this is why i hate dealing with SSA! they mess up YOUR benefits then make YOU jump through hoops to fix THEIR mistakes!! took me 9 months to get them to fix my husbands record when they missed 3 years of his earnings. good luck!!!!

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9 MONTHS?! That's awful! I'm already stressed about how long this is taking. Did you have to keep calling them or was there something specific that finally got it resolved?

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Does anyone know if there's a way to check my PIA calculation myself? I'm worried I might be in the same boat but wouldn't even know it. The SSA website is so confusing and never seems to show the info I actually need.

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You can request a PEBES (Post Entitlement Benefit Explanation Statement) by calling SSA and specifically asking for it. This breaks down your calculation. Also, check that all your earnings years are correctly posted to your record, as missing years can significantly impact your PIA.

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Here's what nobody tells you about non-medical reconsiderations for benefit calculations: you need to specifically request a "FULL REVIEW OF PRIMARY INSURANCE AMOUNT CALCULATION" in writing. Just filing the standard reconsideration form often results in a quick dismissal. Also, your local office should provide you with form SSA-795 (Statement of Claimant) where you can detail the specific errors you believe occurred in your calculation. Be very specific about: 1. Your original PIA estimate vs. what was awarded 2. The COLA that you believe was incorrectly applied 3. The fact that your case bypassed processing center review I went through this exact situation and it took 4.5 months to resolve, but I eventually got retroactive payment for the difference plus the correct ongoing amount.

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This is incredibly helpful information! I didn't know about the SSA-795 form. When I go back to the office next week, I'll specifically ask for this form and request the full review. Thank you for the detailed steps - this gives me a clear action plan.

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My uncle went through somethin like this and it turned out they had him confused with someone else with the same name! Make sure they have your correct SSN and birthdate on everything!

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That's concerning! I'll double-check all my identifying information when I visit the office. Thanks for the tip.

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i dont understand all this PIA and COLA stuff, but my daughter helped me file for benefits and i got way less than the retirement estimator said i would. should i be filing one of these reconsideration things too??

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It depends on why your benefit is lower than expected. Common reasons include: taking benefits before your Full Retirement Age, Medicare premiums being deducted, or the Windfall Elimination Provision if you had a government pension. If none of these apply, then yes, requesting a reconsideration might be appropriate. Your daughter should help you compare your earnings record with the calculation.

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I'm dealing with a reconsideration right now for my SSDI benefits that were incorrectly calculated. One thing I've learned is to keep meticulous records of EVERY interaction: • Get the full name and direct extension of everyone you speak with • Send follow-up faxes summarizing phone conversations • Request a receipt for EVERYTHING you submit • Make copies of all paperwork before submission • Keep a log of dates, times, and topics discussed This documentation has been crucial as my case has been passed between different offices. I've been waiting 3 months so far, but at least I can prove what was submitted and when if anything gets "lost.

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This is excellent advice. I've been keeping notes, but not as methodically as you suggest. I'll start a proper log with all these details going forward. Do you think it's worth sending a follow-up fax even if I've already submitted the reconsideration form months ago?

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Absolutely! Send a follow-up fax referencing your original submission date, claim number, and a brief summary of the issue. Request a status update and include your contact information. This creates another record in your file and sometimes brings attention to cases that have stalled.

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OMG the EXACT same thing happened to my sister!!! Her online account showed everything approved in one day too! She ended up having to get her congressman involved after 6 months of nothing happening with her reconsideration. Two weeks after the congressional inquiry she suddenly got a call from someone at SSA saying they found the "error". DONT WAIT - call your congressional rep NOW!

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That's a great suggestion I hadn't considered. I'm going to give it another month, and if I still don't see progress, I'll definitely contact my congressional representative. Thanks for sharing your sister's experience!

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Something critical to understand: there are strict time limits on retroactive adjustments for benefit calculation errors. Under Social Security regulations, if your reconsideration is successful, they can only pay you retroactively for 12 months from the date you filed the reconsideration. I'd recommend sending a certified letter to both your local office AND the processing center (ask your local office for the address) stating that you're inquiring about the status of your reconsideration filed on [exact date]. Reference your claim number and explicitly state that you're concerned about potential retroactive payment limitations if the review isn't completed promptly. This creates a paper trail showing you've been actively pursuing resolution, which can be important if you later need to argue for extended retroactive payments.

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I had no idea about this 12-month limitation! Thank you for this crucial information. I'll definitely send those certified letters this week. Do you think I should also mention the specific dollar amount difference between what I'm receiving and what I believe I should be receiving based on the original estimates?

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Yes, absolutely include the specific dollar amounts! Be as precise as possible - "My PIA was originally calculated as $X on [date] as shown on my Social Security Statement, but was reduced to $Y when benefits were approved without processing center review." Include copies (never originals) of any statements or letters showing the higher amount. The more specific you are, the harder it is for them to dismiss your claim.

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I'm going through something very similar right now! Filed for retirement benefits in January and my PIA dropped significantly from what was shown on my annual statement. Like you, my online account showed "evaluated" and "approved" on the same day, which seemed suspicious. I've been waiting 2 months since filing my reconsideration and it's incredibly frustrating. Reading through all these responses has been really eye-opening - I had no idea about the SSA-795 form or the 12-month retroactive payment limitation that Sophie mentioned. The advice about keeping detailed records and getting congressional help if needed is something I'm definitely going to follow. It's reassuring to know others have successfully gotten through this process, even though it takes way longer than it should. Thanks for posting this - sometimes you feel like you're the only one dealing with SSA's mistakes, but clearly this is a widespread issue with their auto-adjudication system bypassing proper review.

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