Understand the Reason for Denial

Before taking action, it’s essential to know why your disability claim was denied. The Social Security Administration (SSA) will send you a notice explaining their decision. Common reasons for denial include:

• Insufficient medical evidence: The SSA might not have enough documentation to prove your disability.
• Earnings above the limit: If you are working and earning over the Substantial Gainful Activity (SGA) threshold, you may be disqualified.
• Failure to meet the medical criteria: If your condition doesn’t meet the SSA’s definition of disability or isn’t severe enough to prevent work, your claim might be denied.

Don’t Panic – You Can Appeal

If you disagree with the SSA’s decision, you have the right to appeal. The appeals process is available to those who have been denied disability benefits. Here’s what to expect:

• Request for Reconsideration: This is the first step in the appeals process. You can ask the SSA to review your case again, and you may submit additional information or clarify any details that could support your claim.
• Disability Hearing: If your reconsideration is denied, the next step is requesting a hearing before an Administrative Law Judge (ALJ). This is your opportunity to present your case in person and provide additional evidence to support your claim.
• Appeals Council Review: If the ALJ denies your claim, you can request a review by the Appeals Council, which will decide whether the ALJ’s decision was correct.
• Federal Court Appeal: As a last resort, if the Appeals Council also denies your claim, you can file a lawsuit in federal court to challenge the decision.

Gather Additional Evidence

During the appeals process, it’s essential to gather new medical evidence or additional documentation to support your case. This could include:

• Updated medical records.
• Statements from your treating physician regarding your condition.
• Test results or diagnostic reports that strengthen your claim.
• Statements from specialists, family members, or others who can attest to how your disability impacts your daily life.

Meet Deadlines

It’s critical to meet all deadlines throughout the appeals process. Missing a deadline could result in your appeal being dismissed, which can delay your chances of receiving benefits. Be proactive in following up on deadlines and submitting required documents on time.

Seek Help If Needed

If your disability claim is denied, you don’t have to go through the appeals process alone. Many individuals choose to work with a disability lawyer to help with the complexities of the legal process. A lawyer can assist you with:

• Understanding the reasons for your denial.
• Gathering additional evidence.
• Navigating the appeals process.
• Representing you in hearings or federal court if necessary.