3 common reasons for SSDI claim denials

On Behalf of | Feb 6, 2021 | Social Security Disability

When it comes to Social Security disability benefits, denials are common, especially for many first-time filers. The claims process is a complex and lengthy one. You might feel your health and circumstances make you a prime candidate for benefits. However, the Social Security Administration uses its own criteria to evaluate SSDI benefits claims.

Applicants who receive denials for their claims may qualify to appeal. Whether this is your first-time filing for Social Security benefits, or you plan to file an appeal, review the following common reasons for SSDI claim denials so you can avoid them.

Incomplete or missing documentation

It is crucial for applicants to completely fill out their claims and provide all necessary paperwork and medical records copies. This documentation is necessary to verify and prevent payout on fraudulent claims. Failure to do so can increase the time it takes for benefit payments to begin. In some cases, missing or inaccurate claim information prevents claimants from getting the Social Security benefits they deserve.

Ineligible medical condition

Contrary to common belief, not all medical conditions and disabilities meet the Social Security Administration’s criteria for disabled. In order to qualify for Social Security disability benefits, applicants must prove their injuries/disabilities are long-term, lasting longer than one-year and prevent them from working during that time. Injuries or disabilities that are severe but expected to last less than one-year do not qualify for SSDI benefits.

Lack of ongoing medical care

In order to receive benefits, claimants must follow all treatment recommendations from their medical doctors. Follow-up appointments are necessary to keep claimants on track with their medical care and to provide updates to the Social Security Administration. Refusing treatment or missing medical appointments can prevent claim approval or stop benefit payments.

Many people find dealing with SSDI claims challenging and confusing. Fortunately, those who end up with claim denials, pursue appeals that ultimately provide them with the disability benefits they deserve.

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