5 Possible Reasons Why Your Social Security Disability Claim Has Been Denied: Here’s What to Do

Each year, millions of people apply for Social Security Disability benefits. Out of all these applications, just 30% are approved at the first level of the claim process. Many people wonder why are so many claims denied, and what can they do to avoid this denial?

While understanding all the ins and outs of SSDI denials can be complicated, some reasons are more common than others. Keep reading to find out what these reasons are.

1. Insufficient Medical Evidence

Some Social Security Disability claims are denied because there is no (or not enough) solid medical evidence. If a person wants to qualify and receive benefits, they must prove they cannot work because of their condition. To do this, medical records are required to show the existence of the disability and how it has interfered with the person’s ability to work.

Some people assume Social Security will send them to a doctor who gathers evidence necessary to qualify the claim. This is not what happens. Even if the Social Security office sends an applicant for a medical exam, it may not be enough to approve the claim. Therefore, it is up to applicants to talk to their doctor about the impact of their disability on their ability to work so that the doctor can note this in their medical records.  

2. Past Denials

Some people believe that if they file a new disability claim, they have a better chance of being approved than appealing one that is denied. This isn’t the case. Sometimes, the claim is denied when someone reviewing the case sees the individual already applied and was denied.

Therefore, it is clear to go through the appeals process, instead of filing an entirely new claim.

3. The Applicants Income

This denial factor only applies if someone is seeking SSI benefits. The income earned does not matter when applying for SSDI benefits. Sometimes, people who are applying for SSI benefits can work part-time hours and earn money; however, if they earn more than $910 per month, the claim may be denied.

The SSA only approves SSI claims for individuals who cannot work due to their disability.

4. Not Following the Prescribed Treatment

If an applicant for benefits does not follow the treatment plan prescribed by their doctor, the SSA will deny the claim. This is because the examiner will not determine if the applicant’s condition prevents them from working if they do not cooperate with the recommended treatment.

When there is a valid reason for not following treatment plans, this can be argued during the appeals process. It is best to hire an attorney to help with the appeals process.

5. Not Cooperating

Regardless of how an applicant feels about the people reviewing their claim, it is best to cooperate. If the required information is not provided, or if an individual does not show up to medical exams, the likelihood of the claim being denied increases.

Receiving Social Security Disability benefits can be challenging. The application process is complex, and many things can go wrong. Working with an attorney can help ensure the process goes as smoothly as possible. While there are no guarantees of approval, with an attorney, an applicant will better understand the process and their role.