What is Reconsideration?

Reconsideration is the first level of appeal after your Social Security Disability claim has been denied. During this stage, the SSA will review your case again, including any new evidence you submit, to determine if you meet the eligibility requirements for benefits. It’s important to understand that reconsideration isn’t a new hearing, but rather a review by someone who wasn’t involved in the initial decision.

How to Request Reconsideration

If you disagree with the SSA’s decision, you must submit a request for reconsideration within 60 days from the date of your denial notice. Here’s how you can request reconsideration:

• Online: You can request reconsideration through your SSA online account at www.ssa.gov.
• By Phone: Call the SSA at 1-800-772-1213 to initiate the reconsideration process.
• In Person: Visit your local Social Security office to submit your reconsideration request.

The Reconsideration Review Process

After you submit your reconsideration request, here’s what to expect:

• New Review by a Different Examiner: A different claims examiner who was not involved in the original decision will review your file. This includes all the medical records and other documents you previously submitted, along with any new evidence you provide.
• Medical Evidence: One of the main factors in reconsideration is presenting solid medical evidence that supports your disability claim. This can include new medical records, updated doctor’s notes, lab results, or any new treatment details that may have emerged since your initial application.
• No New Hearing: Unlike a hearing before an Administrative Law Judge (ALJ), reconsideration is based entirely on the existing record and any new evidence you submit. There is no in-person meeting or testimony during this stage.

The Decision After Reconsideration

Once the reconsideration process is complete, you’ll receive a decision from the SSA. The outcome can be one of the following:

• Approval: If the SSA determines that you meet the eligibility criteria for Social Security Disability, your benefits will be approved, and you will start receiving payments.
• Denial: If your reconsideration request is denied, you can continue the appeal process by requesting a hearing before an Administrative Law Judge (ALJ).

Timeline for Reconsideration

The reconsideration process can take several months, typically 3 to 6 months. The time it takes may vary depending on your case, the amount of evidence submitted, and the workload of the SSA. During this time, it’s important to stay proactive by monitoring your case and providing any requested information promptly.

Why Do Most Claims Get Denied at the Initial Stage?

Many claims are denied at the initial stage because applicants fail to provide sufficient medical evidence, or their condition does not meet the SSA’s strict disability requirements. Often, reconsideration can lead to a favorable decision if you provide additional medical records or new evidence that was not part of your original claim.

Common Mistakes to Avoid During Reconsideration

• Missing Deadlines: Failing to request reconsideration within the 60-day window can result in the loss of your right to appeal. Make sure you file your request on time.
• Inadequate Medical Evidence: If your condition has worsened or if new medical records are available, it’s essential to submit updated evidence to support your claim.
• Not Providing Additional Information: The reconsideration process is a review of your case, so you may need to submit additional documentation or clarification on your disability.