Common Questions About Claims Denials and the Appeals Process

As a person who cannot draw an income because of their physical or mental health condition, social security disability benefits will be imperative. Chances are you are unable to retain full-time employment, which could make it difficult to pay your bills and even feed yourself and your family. This is incredibly troubling, and not only will you feel overwhelmed, but you will also be left with many questions over how to fight for your right to SSDI benefits. Working with a lawyer may be the most appropriate option to have your questions answered and receive the legal protections you deserve when managing a claim denial and the subsequent appeals process. 

What is the best way to mitigate a social security disability claim denial?

It may come as a surprise to learn that about half of all social security disability applications result in denials. Because of this, applicants should ensure that their application is properly completed to mitigate the risk of rejection. Chances are, you will want an application to be accepted promptly to avoid a denial or lapses in the benefits you need. To reduce your chances of a denial, applicants should:

  • Provide substantial evidence supporting their disability
  • Ensure that the proper medical documentation is submitted
  • Make sure that the application is fully and accurately completed 

What is necessary to qualify for social security disability benefits?

There are many things necessary to qualify for SSDI. Applicants should provide evidence that proves:

  • They have worked in a position for long enough to qualify
  • The position that they held was covered by social security
  • The SSA approves the medical condition
  • You are unable to work or expected to be unable to work for at least a year

What are the reasons that I might receive a claim denial?

Applicants should not be disheartened after receiving a claim denial as some may be simple fixes. Some common reasons for social security disability claim denials include:

  • Mistakes with the application
  • Failure to provide proper medical documentation
  • Failure to follow recommendations from the provider
  • You are making too much money

What is the appeals process for an SSDI denial?

If an application for SSDI has been denied, there are a few options. You can submit an entirely new application, or, in many cases, your lawyer may recommend that you pursue the appeals process. Unfortunately, many people do not endure the process of submitting an appeal. However, if you have received a denial, you will have 60 days to request an appeal, and it’s critical to do so immediately. Depending upon the situation, a few routes can be taken, reconsideration, a hearing by an administrative laws judge, review by the appeals council, or a Federal court review. 

There are a vast number of medical conditions that may require the assistance that a lawyer can provide. Typical physical and mental health conditions include the cardiovascular system, musculoskeletal system, neurological disorders, immune system disorders, mental health disorders, and more. When a person is rightfully entitled to receiving social disability benefits, experiencing a denial can be troubling. Don’t hesitate to take action by contacting experienced social security disability lawyers, like from The Law Offices of Mark T. Hurt, who can protect you and keep your interests at the forefront. 

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