• Denied Disability?

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Don’t Give Up! We Will Help You Appeal

Social Security Administration denies a large majority of applicants who will ultimately receive their benefits. If you were denied and have a genuine disability and cannot work, do not get discouraged. You are not alone. We offer the guidance you need to APPEAL denials.



In fact, most cases are denied at the initial application level and the reconsideration levels and then argued in a hearing before an Administrative Law Judge (ALJ). Assuming you have a medically determinable impairment, this will be your best chance of receiving benefits.


Disability Advisors is crucial to your success as we:


  • Submit your appeal on time
  • Determine why you were denied
  • Review your initial application for mistakes and/or incomplete information
  • Correct errors
  • Help you understand what medical evidence you will need
  • Gather new evidence
  • Build your case to fit SSA's guidelines
  • Represent you every step of the way!


Remember:

  • Most claims are denied at the initial level.
  • Wherever you are in the disability claims process, there is a way forward. We can help.


Social Security Disability Advisors has over 40 years of experience representing claimants at all levels. A majority of our clients engage our firm after they receive their first denial. We understand Social Security law and how to apply it to benefit your case.


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Five Common Reasons Why Disability Claims are Denied

Claims require sufficient and comprehensive medical evidence. Sufficient documentation such as physician reports, diagnostic test results, treatment plans, and progress notes are necessary for your application.


Paperwork and Evidence: A legal firm can help you gather the necessary medical evidence, which is crucial for a successful claim. They can work with your doctors to get the right documentation and ensure all forms are filled out correctly and submitted on time.


If your household’s monthly income is higher than the limits set by Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI), you can be disqualified. 


For SSDI benefits, applicants must demonstrate they are unable to engage in Substantial Gainful Activity (SGA), which is defined by an income threshold updated annually.


For SSI benefits, both earned and unearned income are considered. Applicants from higher-income households may inadvertently disqualify themselves from monthly benefits if they have too much income or if resources exceed allowable limits.


You can be denied if you fail to follow your prescribed disability medical treatments without valid reasons. SSA does consider the inability to afford treatment, religious objections, or severe side effects associated with treatments as valid reasons for not following medical orders. 

Most SSI and SSDI applications have strict deadlines with automatic denials if your claim is not filed in time. If additional documentation is requested, the deadlines can sometimes be extended. 


Sometimes Social Security Administration (SSA) will schedule an exam or consultation for you. Failure to show up can lead to denial of disability benefits.


Missing information or insufficient medical evidence can often be the determining factor of a denial. Common missing information include:

  • Incomplete medical evidence
  • Lack of documentation from medical professionals

  • Missing medical records
  • Omission of past work history
  • Types of jobs or job duties
  • Lack of specific details about the disability
  • Missing personal information

Understanding Your Social Security Denial 

If you have submitted a Social Security Disability claim, it is important to know that more than 65% of disability claims are denied at the initial application level. Every Social Security Disability journey is complex and can be discouraging. Denials in the early stages are not always indicators of whether or not you will ultimately receive benefits for your disabling condition.

There are many reasons Social Security denies claims. Denials can be broken down into technical denials and medical denials. Details specific to each include:

 

Technical – an applicant has not proven to meet the basic, non-medical criteria for disability

  • The person is working and earning too much money per month 
  • Their household has too much monthly income (Supplemental Security Income)
  • Their household is over the resource limit (Supplemental Security Income)
  • The person does not have enough work credits
  • The person is unable to prove a relationship in the case of adult disabled children or disabled widow/ widower disability claims. 
  • Did not complete claim process or failed to cooperate. 

 

Medical – an applicant has not proven to meet the medical criteria for disability 


  • The application did not have enough medical evidence to show significant severity of a medically determinable impairment 
  • The application did not show that the condition was severe enough to keep the person from working 
  • The application did not show enough evidence of limitations or inability to work due to the disabling condition


When a claim is denied, SSA will send a letter in the mail that includes both a notice of decision and a decision explanation. It is very important to read through the entire denial letter to understand why your claim was denied. If you have received a denial, contact us and we will help you understand the technical or medical merits of the denial. We offer representation to get the guidance you need for the disability you deserve.


Contact Us

Most cases are awarded at the hearing level. We can tell you if you have a good case with one simple call. To get the guidance you need, call us today at 800-249-7507.