Why Social Security Disability Claims Get Denied and How to Avoid the Most Common Mistakes
Why are Social Security disability claims denied? The most common reasons include insufficient medical evidence, a finding that the condition is not expected to last at least 12 months, a determination that you can still do your past work or other work, failure to follow prescribed treatment without a good reason, and missed deadlines or appointments. Understanding these reasons can help you build a stronger application from the start.
Is there not enough medical evidence?
This is the most frequent problem. The SSA decides claims based on objective medical evidence, not only on what you tell them. If your records show only occasional visits, or if your doctor's notes don't describe functional limits such as how long you can sit, stand, lift, or concentrate, the examiner may conclude that your condition is less severe than you experience it.
Did the SSA decide your condition won't last 12 months?
Disability under SSA rules requires an impairment expected to result in death or last at least 12 continuous months. A condition that is painful but expected to improve quickly may be denied on this basis, even when the symptoms are real.
Can you still do your past work or other work?
The SSA evaluates your residual functional capacity, meaning what you can still do despite your limitations, and whether you can perform past relevant work or adjust to other jobs in the national economy. Vague descriptions of your daily limits often lead to findings that you can work.
What happens if you skip treatment or a required exam?
If you don't follow prescribed treatment without a good reason, your claim may be denied. The SSA may also schedule a consultative examination with its own doctor. Missing that appointment without good cause can result in a denial based on the lack of evidence. Always contact the SSA and your attorney right away if you cannot attend.
How can you strengthen your claim?
Keep consistent treatment, ask your doctors to document specific functional limitations, and report all of your conditions, including mental health symptoms and side effects of medication. Respond promptly to every request for information. A claimant who does these things gives the examiner a clearer, more complete picture.
Frequently asked questions
Does a denial mean I can never get benefits?
No. Denials can be appealed, and many claimants are approved at the hearing level.
Will my claim be denied if I'm still working a little?
It depends on your earnings and the nature of the work. Earnings above the SGA threshold generally lead to denial, so talk to an attorney before making a decision about work.
Should I wait to apply until my condition is worse?
Waiting can cost you benefits. Your back pay may be limited by the date you applied, so it is usually better to apply when you become unable to work.
This article is for general information only and does not create an attorney-client relationship. Call (916) 921-5285 to review your claim.
