Did you know that, according to the most recent statistics, 67% of SSDI applications face a social security denial on the initial submission? If so, of those who are awarded, only about 21% receive approval from their first application.
These numbers indicate that denials are common, and many applicants encounter challenges throughout the process.
If your application was denied, it can be frustrating, but remember that a denial doesn’t mean the end of your journey. An experienced social security appeal lawyer will address the reasons for the denial.
Here, we’ll discuss five common issues that lead to Social Security denials and offer solutions to fix them.
Top 5 Reasons Social Security Disability Claims Are Denied and How to Fix Them
1. Improper medical evidence
One of the primary reasons Social Security disability claims are denied is the lack of complete medical evidence. The SSA needs proper documentation to prove the severity of your disability. Without clear, complete medical records, your claim may be rejected, even if your disability is legitimate.
Here’s the Solution
- Collect Updated Medical Records: If your medical evidence is outdated, you have to collect the most recent records from healthcare providers. This includes specialists, primary care physicians, and any other medical professionals who are familiar with your condition.
- Request Statements From Your Doctor: Having detailed, written statements from your doctors can strengthen your case. Ask your healthcare providers to explain how your disability affects your ability to work and perform daily activities. This documentation can make a significant difference in your appeal.
2. Fail to Follow Proper Treatment
When an applicant fails to follow their prescribed treatment plan, the SSA may consider it a lack of effort to manage the disability, which results in a denial. The SSA expects claimants to make reasonable efforts to treat their condition, and neglecting treatment can impact your chances of approval.
How to Fix it: SSDIClaims
- Stay Consistent with Appointment and Treatment: Make sure that you are regular with doctor visits and are following all prescribed treatments. Document your treatments and any adjustments made to your care plan.
- Communicate with Doctor: Having trouble following the prescribed treatment, you should talk clearly with your healthcare provider about any challenge. They may adjust your treatment to make it more manageable and could provide documentation to support your case.
- Keep Records of All Treatment: You should maintain a detailed log of your treatment appointments, medications, therapies, and any improvements or setbacks. This will show that you are making an effort to manage your disability.
3. Incorrect Application Forms
Filling out SSD applications can be complex, and even small mistakes on the forms can result in denial. Errors such as incorrect personal information, missing work history, or incomplete medical information can cause your application to be rejected or delayed.
Here’s the Solution
- Double-Check Your Forms: Before you submit your application, double check all the details carefully. Ensure that your personal information is, work history, medical history and any other required details are correct and complete.
- Seek Assistance from a Social Security Lawyer: A lawyer can help you ensure that your application is filled correctly, which lessens the risk of error that could lead to denial.
- Provide Detailed Employment History: Be sure to accurately list your past employers and job responsibilities. If there are any gaps in your employment history, be prepared to explain them in detail, a practice also supported by audioalter.
4. Unable to Meet SSA’s Disability Criteria
The SSA has particular criteria for determining whether you are qualified for disability benefits or not. These criteria include proving that your disability prevents you from performing substantial gainful activity (SGA) and is expected to last at least 12 months or result in death. If your condition doesn’t meet these guidelines, your application is likely to be denied.
Simple Solution:
Consult with Disability Attorney: A Social Security denial attorney helps you understand if your condition meets SSA’s definition of disability and whether additional evidence is needed.
Review SSA’s Listing of Impairments: The SSA has a list of impairments considered automatically disabling. If your condition isn’t on this list, your lawyer can help argue that your disability is medically equivalent to one of the listed conditions.
5. Missing Deadlines for Reconsideration or Appeals
Missing deadlines is a common reason for Social Security denials to become final. If your initial application is denied, you have a limited period to request reconsideration or file an appeal. In case you fail to meet these deadlines can result in your claim being closed, requiring you to start the process over again.
How to Fix it:
Act Quickly after Denial: If your claim is denied, make sure to file for reconsideration within 60 days, according to SSA. After the reconsideration, if you’re still denied, you can request a hearing before an Administrative Law Judge (ALJ), also within 60 days.
- Set Reminder for Important Dates: You should always track down all the deadlines to ensure you file reconsideration and appeals on time. Missing deadlines can seriously impact your chances of success.
Conclusion
Now you know the significant challenges you can face while getting Social Security Denial disability claims; and the essential steps you can take to solve them. By addressing issues such as incomplete medical evidence, non-compliance with treatment, application errors, failure to meet SSA criteria, and missing deadlines, you can improve your chances of success. Working with an experienced Social Security lawyer can guide you through the appeal process effectively.
