denied ssd claim

When you file for a social security disability claim, you may be denied the first time, making you one of the 65% of first-time applicants whose initial social disability claims are denied. This does not mean that you are not disabled or that you do not have a good case. You always have an option to appeal the decision. Before you consider making an appeal, you should know the common reasons why social disability claims are denied.

The 5 Most Common Reasons for Getting Your SSD Claim Denial.

    Social Security Disability card

  1. Lack of sufficient documentation – Social Security Disability Insurance
  2. 90% of cases are denied due to lack of documents and records to back up your case. The Social Security Administration (SSA) may have requested your records and other reports directly from the hospital or from other sources, but it may not receive all the documents needed. It is important for you to provide all medical records and other reports that SSA may need in order to establish the strength of your claim.

  3. Failure to cooperate
  4. Refusing to provide additional documents and records is probably not a good choice. You may have reasons for not providing the documents that are requested you, but you need to provide these to the SSA if you want to be granted social Security Disability Insurance. Similarly, the SSA may need you to undergo a consultative examination (CE) through a doctor they choose. You may need to attend a CE to provide them with substantial information about your medical condition.

  5. Failure to follow treatment
  6. In some cases, you may opt not to attend therapy or undergo treatment for your condition. This may be justified for medical reasons, such as when you are physically unable to undergo it without aid or assistance, or when you have a severe mental illness and cannot comply with therapy. There are also other justifiable non-medical excuses such as when you do not have money to undergo treatment. When you have the ability to follow a prescribed therapy, and when the treatment you refused to follow is one that can restore your ability to work, you may be denied your social security disability.

  7. Income that exceeds sustainable gainful activity (SGA)
  8. The SSA grants the Social Security Disability Insurance to individuals who are unable to work and support their daily needs. The SGA limit is $1,000 per month. If you are working and you are earning $1,000 per month, then your claim will be denied.

  9. Failure to communicate

The Disability Determination Service (DDS) is responsible for determining your eligibility for Social Security Disability Insurance. If the DDS is unable to communicate with you or with your legal representative, then your claim may be denied. You will need to give them as much contact information as you can provide, and notify them if you changed your address or telephone numbers.

Have You Been Denied Social Security Disability Insurance (SSDI)?

woman learning that her Social Security Disability Case was Denied

If you or a loved one feel you have been wrongly denied Social Security Disability insurance after a work-related injury, you may want to speak with a Rhode Island personal injury attorney regarding a potential claim. Please contact a Social Security Disability Lawyers in RI at the Law Offices of d’Oliveira & Associates at 1-800-992-6878 or fill out a contact form for a free legal consultation.

d’Oliveira & Associates
62 Hamlet Ave.
Woonsocket, RI 02895
(401) 762-4006
Author Photo

Paul d’Oliveira

Attorney Paul d’Oliveira has been practicing personal injury and disability law for over 30 years. He started his personal injury law practice in 1989 with two offices in Fall River, MA and East Providence, RI. Today his firm has 16 offices in RI and Southeastern, MA.

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