Applying for Social Security Disability Insurance (SSDI) can be a challenging process, and unfortunately, many claims are denied. Understanding the common reasons for these denials can help applicants better prepare their cases and improve their chances for approval. Here, we’ll explore the most frequent reasons SSDI claims are denied and what applicants can do to address these issues.

1. Insufficient Medical Evidence

One of the primary reasons for SSDI denial is a lack of adequate medical evidence to support the claim. The Social Security Administration (SSA) requires comprehensive documentation of the applicant’s medical condition, including medical records, test results, and treatment history.

What Applicants Can Do:

  • Ensure all medical records are up to date, comprehensive, and submitted with the application.
  • Include detailed notes from treating physicians regarding the severity of the condition and its impact on daily life.
  • Provide evidence of ongoing treatments, medications, and any hospitalizations.

2. Non-adherence to Treatment Regimens

If the SSA finds that the applicant has not followed prescribed medical treatments or therapy without a valid reason, it can result in a denial. They may argue that if an applicant is not taking their treatment seriously, the condition cannot be considered debilitating.

What Applicants Can Do:

  • Maintain consistent communication with healthcare providers and adhere to prescribed treatments.
  • Document any legitimate reasons for non-adherence, such as side effects from medications or financial barriers.

3. Failure to Meet the Work History Requirements

To qualify for SSDI, applicants must have a sufficient work history that meets the required number of work credits. If the applicant hasn’t worked long enough or recently enough to qualify, their claim may be denied.

What Applicants Can Do:

  • Review work history carefully to ensure that it meets the SSA’s requirements.
  • If denied, consider whether there are additional work credits that can be obtained, perhaps by referring back to previous jobs.

4. Disability Not Expected to Last 12 Months

SSDI is designed for those with long-term disabilities. If a condition is determined to be short-term or temporary, the claim may be denied. The SSA looks for evidence that the condition will persist for at least 12 months.

What Applicants Can Do:

  • Clearly document the expected duration of the disability with support from medical professionals.
  • Highlight any chronic conditions that may contribute to a longer-term disability.

5. Inconsistent Information or Lack of Detail

Inconsistencies in the application, such as discrepancies between medical records and self-reported symptoms, can lead to denial. A lack of detail about how the disability impairs everyday functioning can also raise red flags.

What Applicants Can Do:

  • Carefully review all application materials for consistency and accuracy.
  • Provide detailed statements on how the disability affects daily activities and ability to work.

6. Not Following the Application Process

Many applicants overlook crucial steps in the application process, such as missing deadlines or not filing the necessary paperwork. This can result in automatic denials.

What Applicants Can Do:

  • Familiarize yourself with the application process and timelines.
  • Keep thorough records of all submissions and communications with the SSA.

Contact the Professionals at Daniels Associates

Getting your SSDI claim approved often requires diligence, proper documentation, and an understanding of the factors at play. If your claim has been denied or you’re uncertain about the application process, consulting with a Social Security attorney can be an invaluable step. They can help you navigate the complexities of SSDI claims, assist with appeals, and work towards securing the benefits you deserve.

Whether you’re just starting the application process or need help with a denied claim, don’t hesitate to reach out to us for professional assistance. Contact us today to schedule your free consultation!