Social Security Disability Resource Center

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What Happens to a disability claim after you file? How is the decision made?




 
When you file your disability benefits in either the social security disability or SSI program, you generally complete a disability interview with your local Social Security office, which can be done in person, or over the phone.

If you choose to have your local Social Security office take your disability claim (versus filing online, for instance), you will know have a clear idea of what has occurred simply because you will have interacted with a field office claims representative (a CR) and also because you will have completed and returned all the information needed for your disability claim. But what happens after you file your disability claim, and what is is involved in processing it?

Many people think that the claims representative who completed their disability interview and did the intake work for their application is responsible for making the medical determination on their disability claim, but that is not the case. Once your disability interview is completed, your file is sent to a state disability agency for a medical determination and processing.

The agency is, in most states, referred to as DDS or disability determination services although in some states it may be known as the bureau of disability determination or something similar to this (although, it is interesting to note that the social security act which empowers the social security administration and its handling of the federal government's disability programs clearly uses the terminology "disability determination services").

When the claim is received at the disability agency (DDS), it is assigned to a disability examiner who is responsible for developing your case. The disability examiner first reviews your medical source information (the doctors and hospitals that you listed on the application) and determines if they have enough current medical information (treatment records within the past three months) in order to make a Social Security disability determination.

If they determine that more current medical information is needed, they will immediately schedule a consultative examination, or CE.

Consultative examinations are used to get a current status of a disability applicantís disabling condition, or conditions. Private practive physicians contracted by Social Security perform these examinations, so as you might imagine, consultative examinations are generally just the basics. They are usually short perfunctory examinations that many disability claimants have felt did not address their disabling condition.

Whether or not the disability examiner schedules a consultative examination, the disability examiners will nevertheless request medical information from any source you provided on your disability application. In doing so, they will be asking for older and newer records. The reason disability examiners request older medical information for their disability determination is because in addition to the need to learn if a claimant is currently disabled, there is the matter of onset.

Onset, or how far back a disability can be established will have an impact on how much back pay the claimant may be owed when the case is finally approved.

In addition to requesting medical source information and scheduling consultative examinations, the disability examiner usually sends out questionnaires to address your ability to function and perform routine daily activities. These are sent to you and your third party contact-person (the person you listed your application as someone who knows about your conditions).

Disability examiners use these questionnaires along with your medical records to determine your residual functional capacity (what you are able to do in spite of your disabling condition or conditions). Your residual functional capacity along with your education, age, and job skills are used to make a decision as to whether you can perform any of your past work, or do any other work in the general economy.

If the disability examiner determines that you meet or equal a Social Security impairment listing (Listings, which are contained in the blue book, the social security disability list of impairments, involve body systems and address numerous, though not all, conditions), your disability claim will most likely be approved.

If you do not meet or equal an impairment listing, the disability examiner may approve you based upon how restrictive your residual functional capacity is, as well as the impact your education, age, and the transferability of your work skills has on your ability to do some type of work. This type of disability approval is called a medical vocational allowance.








  • What medical conditions will get you approved for disability?

  • What kind of Mental Problems Qualify for Disability?

  • Which conditions will social security recognize as a disability?

  • Tips for getting Social Security Disability or SSI benefits approved







  • SSDRC Homepage:

    Social Security Disability and SSI Resource Center



    The Most Basic questions about Getting Disability Benefits

    Social Security Disability SSI and whether or not you can work

    Common Mistakes to avoid after being denied for Disability

    Social Security Disability SSI Questions and Answers

    More Social Security Disability SSI Questions and Answers

    Common Questions about Social Security Disability and SSI

    Winning Social Security Disability or SSI Benefits

    The SSI Disability Benefits Program

    Social Security Disability SSI and Doctors - Yours and Theirs

    Social Security Disability and SSI Claim Reviews

    Social Security Disability SSI System and Benefits for Children




    Denials, Appeals, and Getting a Disability Lawyer or Representative

    What you should know about Social Security Disability and SSI Denials

    Questions about Disability Lawyers and Hiring a Disability Attorney




    Various Types of Benefits including SSI, Mental, and Child benefits

    Social Security and SSI based on Mental Disability

    Social Security Disability or SSI Benefits for Children

    Disability Benefits through Social Security




    Filing for Social Security Disability or SSI Benefits

    Social Security Disability SSI: Medical Evidence and Records

    Filing your claim for disability benefits

    Eligibility for receiving disability benefits




    Resources on this site

    Social Security Disability, SSI Terms and Definitions

    Previously answered questions regarding SSD and SSI



    The SSDRC Disability Blog




    For Individuals living in North Carolina

    Disability in North Carolina

    North Carolina Disability Lawyer

    Getting disability in North Carolina








    Related pages:

    How much can a spouse and child draw from husbandís or wifeís SSDI?
    Do I have to report earnings to Social Security if I collect disability?
    Can a person with a felony collect Social Security disability?
    What is the Difference Between Filing A New Disability Claim And Filing A Disability Appeal?
    How Likely Is It That A Social Security Disability Claim Will Be Won Prior To The Hearing Level?
    How do you find out if a Social Security disability claim has been approved or even denied?
    What Happens When You File A Second Social Security Disability Claim?
    What Happens in the processing of a disability claim after you file?
    A Short Checklist for Filing A Disability Claim Under SSI or SSD
    Will Your Claim for Disability be Handled Differently if Based on a Physical or Mental Problem?
    How to Claim Disability Benefits through Social Security
    How to claim disability benefits in North Carolina
    How do I file for my children and spouse if I get SSDI?
    Getting a Disability Lawyer in Arkansas
    If you apply for disability in Arkansas



    Information on the following topics can be found here: Social Security Disability Questions and in these subsections:

    Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI


    These pages answer some of the most basic questions for individuals who are considering filing a claim.

    Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
    How to Apply for Disability - What medical conditions can you apply and qualify for?
    Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
    What happens if I file a disability application and it is denied by a disability examiner or Judge?
    How to Prove you are disabled and qualify to win disability benefits
    How do you prove your disability case if you have a mental condition or impairment?
    Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
    Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria