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What are the top reasons for SSD claim denials?

On Behalf of | Sep 27, 2016 | Firm News, Social Security Disability | 0 comments

Any worker who has suffered a disabling physical injury or is unable to work due to a mental health condition may feel that they qualify for Social Security disability benefits. If you are disabled, you live with your condition every day. However, applying for SSDI benefits is a complicated and often daunting process.

Millions of disabled workers seek SSDI benefits each year, and most initial applications are denied. Valid claims are frequently denied, especially in the early stages of the application and appeals process for lack of sufficient proof. While a disability may seem obvious to an individual, the Social Security system sets stringent guidelines, time limits and other rules that must be followed to obtain SSDI benefits.

Common Reasons For Denied SSD Claims

While no list could outline every reason that claims are denied, we have compiled a short list of the top three reasons benefits may be rejected.

Incomplete Paperwork – The SSA requires detailed proof of the disability and eligibility to receive benefits through the government program. The forms necessary to present a solid claim are generally voluminous and missing forms or missing information in a form can be the basis of a denied SSD claim. Many individuals try to fill out the paperwork themselves and may not always understand the importance of supplying complete medical records, leading to a denial. Moreover, some individuals have multiple impairments that may be considered together in proving disability. Misrepresentations in the documentation are also treated harshly in the system.

The failure to continue treatment – The SSA notes that an SSD application can be denied for a person’s lack of effort in following through on prescribed treatment or recommended therapy. The costs of medical treatment – especially for a person who is unable to work – are often difficult to justify. However, it is critical to follow through with medical treatment.

Disputed diagnoses – Medical records and the diagnosis of a doctor are critical ingredients in the SSD application and appeals process. However, the SSA may not fully agree with a doctor’s diagnosis – especially when records are incomplete.

Working with an experienced SSD lawyer can help you to build your case for benefits – at every stage of the process. Even if an initial claim is denied, it is not too late to speak with an attorney who can review the paperwork, your individual circumstances and disabling impairments to provide advice and guidance in seeking these important benefits.