Reasons for Denial of Social Security Disability Claim

Reasons for Denial of Social Security Disability Claim

There are many factors that go into the approval or denial of a disability claim by the Social Security Administration (SSA). Three of the most common reasons for denial of benefits, known as Social Security Disability Insurance (SSDI), is explored here. Being denied benefits often causes significant frustration, but keep in mind that the decision of the SSA can be disputed. Further, by avoiding making these mistakes, your claim will likely have a better chance of being approved.

Lack of Sufficient Medical Evidence

In order to qualify for SSDI benefits, the applicant must prove that he or she has an inability to work due to a disabling impairment. In order to prove a claim, the applicant must provide the SSA with medical records demonstrating the impairment. Often, claims are denied due to the SSA not being provided with enough evidence to demonstrate that the applicant suffers from a disability.

While the SSA may request the claimant to submit to a medical examination, the result of this exam may not provide sufficient evidence of a disabling impairment. As a result of this, providing the SSA with the records of exams performed by the claimant’s primary care physicians and other healthcare professionals is critical in demonstrating impairment. It is also important to keep track of any time taken off from work due to the impairment and any doctor notes excusing an absence of work.

Too Much Income

SSDI is intended for individuals who are no longer able to work because of a disability. However, this does not mean that an individual must be entirely incapable of performing any work. Instead, the SSA uses a substantial gainful activity (SGA) allowance. If an applicant’s income exceeds this allowance, the claim for disability will be denied. Currently, this limit is $1,090 ($1,820 for statutorily blind individuals) per month. For individuals who earn more than the limit, the SSA does not consider those individuals disabled.

Not Following Treatment or Being Uncooperative

The SSA may deny a claim because the applicant stops following the orders prescribed by the doctor. By not following the treatment orders, it makes it unclear to the SSA whether the applicant truly has a disabling impairment. If the applicant follows treatment, he or she may be able to work or even be relieved of the impairment entirely.

An applicant may appeal the denial of the claim and provide a valid reason for the failure to follow prescribed treatment. Some valid reasons may include that the prescribed treatment violates a tenet of the applicant’s religion or, because of the nature or magnitude of the treatment, there is a significant risk posed to the applicant.

Alternatively, the SSA may deny a benefits claim due to the applicant simply being uncooperative. This occurs when the applicant fails to appear at meetings or exams or fails to provide requested documents. Therefore, it is important for the applicant to remain in contact with the person handling the case and respond to any requests in a timely manner.

Charleston Disabilities Law Attorneys

If you would like more information about the process for applying for SSDI benefits, speak with an experienced attorney today. The Klok Law Firm LLC provides representation to individuals who would like help in obtaining the much-needed benefits provided by the SSA.