Securing Social Security Disability Insurance (SSDI) benefits can be a challenging process. The Social Security Administration (SSA) denies many initial claims due to various reasons. Understanding these issues and knowing how to avoid them can increase the chances of approval.
Incomplete or inaccurate documentation
Missing or incomplete documentation is a leading cause of claim denials. The SSA requires detailed medical records, work history, and other necessary documentation to evaluate a claim. Missing forms, inaccurate details, or vague medical evidence can result in denial. Claimants should ensure that their application includes comprehensive medical records, doctor’s statements, and proof of disability’s impact on their ability to work.
Lack of sufficient medical evidence
The SSA denies claims that fail to demonstrate a medically determinable impairment. If medical records do not clearly show a severe condition lasting or expected to last at least 12 months, the claim may be rejected. Regular visits to healthcare providers and obtaining thorough diagnostic reports help establish the severity of the condition.
Earning above the substantial gainful activity limit
Individuals earning more than the substantial gainful activity (SGA) limit are not eligible for SSDI. The SSA sets this limit annually. Applicants must ensure their earnings fall below the threshold when filing a claim.
Failure to follow prescribed treatment
The SSA may deny claims if applicants fail to follow prescribed medical treatments without a valid reason. Treatment adherence shows a willingness to improve health and supports the claim’s credibility. Applicants should discuss treatment plans with their doctors and provide explanations for any lapses in adherence.
Filing errors and missed deadlines
Errors in the application or missing key deadlines often lead to denials. Incorrectly completed forms or missed appeal deadlines can jeopardize a claim. Double-checking paperwork and adhering to timelines is critical.
Approaching the SSDI process with careful preparation and awareness can help avoid common missteps. Taking proactive steps and seeking the right support can pave the way toward securing the benefits needed to move forward.
