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How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay

Why Will A Social Security Disability Application Get Denied?



 
Most Social Security Disability, or SSDI, claims are denied because an individual was not found medically disabled under the Social Security Disability guidelines (This article focuses on non-medical denial reasons, so for more on this topic: Social Security Disability Denied — The Reasons Why).

However, disability claims can be denied for reasons other than medical reasons. When an individual applies for SSDI disability benefits with Social Security, their disability application has a possibility of being denied without the case ever being evaluated by a disability examiner and without ever receiving a medical determination.

For example, individuals who file a disability application while working and earning above the substantial gainful activity amount, with no special considerations or subsidy from their employer, are denied prior to their case even being sent for a disability medical determination.



Translation: if you working and earning too much at the time you apply for disability, your medical records will never be gathered and reviewed and you will very quickly receive a technical denial.

Note: SGA is an earnings limit that, if exceeded, will make a person no longer eligible for disability benefits. Special considerations or subsidy are special help from employers that help an individual remain employed.

The definition of disability states that an individual has been unable to perform SGA for twelve continuous months, or that they expect to be unable to perform SGA for twelve months due to a medically determinable impairment. So it stands to reason that an individual who is working above the SGA monthly earnings limit would be denied prior to having their case sent to a disability examiner at DDS (disability determination services) for a disability determination.

Truthfully, there are many individuals who suffer from significant medical or mental problems who are working and earning over the SGA monthly earnings amount. But for Social Security purposes, their medical or mental problems must be considered to be significant enough to prevent substantial work activity. It really does not matter what their condition is, or what the severity of their condition is if they are working over the SGA earnings limit.

Other reasons a case can be denied

There are other ways, aside from work activity, that can cause a disability claim to be denied without a medical evaluation of the claim being conducted. For example, many individuals who take the time to file an application by phone, or online, are denied because they fail to return their medical release forms (forms that are signed by the applicant that enable Social Security to request medical records). If an individual fails to provide the information needed to process their disability claim, such as medical releases, their disability application will be denied on the basis of "failure to cooperate".

In addition to failure to cooperate denials, disability claims can be denied for failure to attend a scheduled consultative examination (these are medical examinations that are scheduled by disability examiners to get needed medical information).

Avoiding being denied

Some of these types of disability denials can be avoided if an individual simply does what is necessary for the processing of their disability claim. If an individual files for disability, they should make sure that Social Security has a valid address and phone number in case the disability examiner handling their claim needs more information. Also, disability applicants should always complete all necessary forms and provide any information requested during the disability claim-processing period.

Lastly, if an individual is scheduled for any medical or mental consultative examinations, they should make sure that they attend the examination or notify the disability examiner prior to the date of the examination that they need to reschedule their examination. Just following these simple instructions can save disability applicants from needless claim denials.








Essential Questions

What is the Social Security Disability SSI list of impairments?

Can you work while getting or applying for Disability?

How Often Does Social Security Approve Disability The First Time You Apply?

Tips for getting Social Security Disability or SSI benefits approved

What medical conditions will get you approved for disability?

What kind of Mental Problems Qualify for Disability?

Receiving a Disability Award Letter

Conditions Social Security will recognize as a disability

Previously answered questions regarding SSD and SSI

Applying for disability in your state



Most popular topics on SSDRC.com

Social Security Disability SSI Questions

The listings, list of disabling impairments

Can a mental illness qualify you for disability?

Disability Lawyers prevent unnecessary denials

How much Social Security Disability SSI back pay?

How to apply for disability for a child or children

Filing a Social Security Disability SSI application

Filing for disability - when to file

How to apply for disability - where to apply

Qualifications for disability benefits

How to Prove you are disabled and Win your Disability Benefits

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Related pages:

Can you receive short-term disability if you receive SSDI checks?
Will my disability pay go back to the day I became disabled?
How far back will they go on a disability back payment?
How to apply for disability and where to apply
Filing an Application for Disability Benefits under SSD or SSI - Step by Step
Tips on how to file for disability
What is the Application Process for Social Security Disability and SSI?
What happens after I file my disability claim with Social Security?
What happens after a Social Security Disability or SSI Claim has been taken and is Pending
If you get denied on a disability application do you have to file a new application?
How the Decision on a Disability Application or Appeal Under SSDI or SSI is Made
If Social Security says you have an overpayment can you have a hearing by a judge?
What are the qualifications for disability in Texas?
How much can I get from Social Security Disability in Texas?
Get a qualified disability attorney, lawyer in Texas



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

Can you get temporary Social Security Disability or SSI benefits?

Permanent Social Security Disability

What is the difference between Social Security Disability and SSI?

Who is eligible for SSI disability?

Can I Be Eligible For SSI And Social Security Disability At The Same Time?

What makes a person eligible to receive disability benefits?

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?









For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.