Social Security Disability Resource Center

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Why Will You be Sent to a Social Security Doctor for your disability case?

Sometimes in the course of evaluating a claim, a disability examiner (examiners work for the state disability determination services agencies in charge of deciding all initial applications and first appeals for Social Security) will schedule the claimant for a consultative exam (CE).

CEs are not performed by physicians who are employed by DDS; rather Social Security contracts with independent physicians, psychologists or psychiatrists to perform these exams as needed.

In general, those who have recently been seen by their physician (within the past 60 days) will not have to attend a CE, but this is not always the case. You could be sent for a CE even if you have seen your doctor recently, particularly if the disability examiner feels more information is needed before he can close a case.

For instance, a CE could be needed to obtain testing that is not in the claimant’s medical records, such as spirometry testing for asthma or COPD, X-rays for fractures or degenerative disc disease, or hearing tests if you are filing on the basis of hearing loss.

CEs can also be used to gather information about the claimant’s mental condition through IQ tests, memory exams, or a full psychiatric workup.

In some cases the disability examiner will schedule a CE if a medical condition is indicated in your medical records, but you have not mentioned it on your initial application.

For instance, if your family doctor has prescribed antidepressants, you could be sent for a mental CE to provide the examiner with a clear picture of your level of depression and the limitations this could impose on your ability to work.

The most common reason a disability examiner schedules a CE is so that the examiner can receive a written opinion from the consultative examiner about your current state of physical or mental health. Without recent (within the past 60 days) medical documentation, the examiner cannot close a case.

In fact, it is rare that a CE will have any great impact on the approval or denial of a claim. Medical records from a treating physician that establish a date of onset (when your symptoms began), specific limitations imposed by your impairment (activities you can or cannot do), and a prognosis (how your impairment is expected to progress over time) carry more weight in the examiner’s decision-making process than the opinion of a physician hired to perform a CE.

This is why it is so important for those whose impairments compromise their ability to work to immediately seek medical attention from a physician with whom they have enough rapport to establish a long-term doctor-patient relationship.

In the end, all disability decisions are based on information contained in medical records—-if you have not sought regular medical treatment for your impairment, it is unlikely that a consultative exam will supply a disability examiner with enough proof to approve your claim for disability.

  • 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

    Medical exams for disability claims

    Applying for Disability in various states

    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

    Frequently asked questions about getting Denied for Disability Benefits

    FAQ on Disability Claim Representation

    Disability hearings before Judges

    Selecting and hiring Disability Lawyers

    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

    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

    Resources on this site

    Social Security Disability, SSI Terms and Definitions

    Previously answered questions regarding SSD and SSI

    For Individuals living in North Carolina

    Applying for Disability in North Carolina

    North Carolina Disability Lawyer

    Related pages:

    When Social Security Disability Sends You To A Doctor, What Kind Is It?
    Who is The Doctor for a Social Security Disability Claim or SSI Case?
    What should you get from your doctor to file for disability benefits?
    Why Will You be Sent to a Social Security Doctor for your disability case?
    Will Social Security Grant Disability If I Have Not Been To the Doctor?
    If I apply for disability and my doctor says I am disabled, is there a waiting period to receive benefits?
    SSA Medical Exam and your own Physician
    How Important is the Treating Physician to a Social Security Disability or SSI case?
    How to go back on disability after trying to work again
    If you apply for disability in Texas
    Disability requirements in Texas
    Qualifying For Disability in Texas

    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 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