Why Are Disability Claims Denied?

Your denial letter from the Social Security Administration (SSA) will state the reason for denial, which may include:

• Lack of sufficient medical evidence
• The SSA believes your condition is not severe enough
• They determine you can perform your past work or adjust to other work

Understanding the specific reason for your denial is crucial to building a strong appeal.

When Should You Appeal?

You must file your appeal within 60 days of receiving your denial notice. Missing this deadline can require you to start a new application, delaying your benefits.

The Four Levels of Disability Appeals

1. Reconsideration

• What it is: A different SSA examiner will review your entire application, including any new evidence you provide.
• How to request: File your reconsideration request online at www.ssa.gov, by phone at 1-800-772-1213, or at your local Social Security office.
• What to include: Updated medical records, recent test results, and detailed doctor statements explaining your limitations.

2. Hearing Before an Administrative Law Judge (ALJ)

• What it is: If reconsideration is denied, you can request a hearing before an ALJ.
• Why it matters: This stage allows you to present your case in person or via video and bring witnesses such as doctors or vocational experts.
• Preparation: Be ready to explain how your disability affects your daily life and ability to work, and provide any new medical evidence supporting your claim.

3. Appeals Council Review

• What it is: If the ALJ denies your claim, you can request the Appeals Council to review the decision.
• Outcome options: The Appeals Council may uphold the decision, send it back for a new hearing, or reverse the decision.

4. Federal Court Review

• What it is: If the Appeals Council denies your request or upholds the ALJ decision, your final option is to file a lawsuit in federal district court.
• Note: This stage is complex and usually requires an experienced disability attorney to represent you.

How to Strengthen Your Appeal

To improve your chances of approval:

• Continue medical treatment and obtain updated records
• Request detailed statements from your treating physicians explaining why you cannot work
• Document how your disability affects your daily activities and work tasks
• Submit all new evidence with your appeal forms promptly

Follow Up Regularly

After submitting your appeal:



• Monitor your appeal status through your my Social Security account
• Respond quickly to SSA requests for additional documents or information
• Keep copies of all forms, medical records, and correspondence