is the common field betwen the table and the query this expression
[TableA].file<>[SSN]
try this query
SELECT DISTINCTROW [TableA].firstname, [TableA].lastname, [TableA].Date, [TableA].requester, Left([file],5) AS Expr2, [TableA].file
FROM [TableA] Left Join [QueryA] On [TableA].file=QueryA.[SSN]
WHERE (([TableA].type="Test") AND (QueryA.[SSN] Is Null))
ORDER BY Right([file],2), Right([file],4), Left([file],5);