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SSDRC Disability Blog

What is the Difference Between a Technical Denial and an Informal Denial?




 
Technical denials and informal denials are similar in the fact that both denials result in your disability claim being denied prior to a medical determination. However, that is where their similarity ends. So, just what are the differences between a technical and informal denial?

Generally, informal denials involve Supplemental Security Income disability. If a Social Security representative determines that an individualís income (i.e. wages, Social Security benefits, long or short term disability, workmanís compensation, public disability programs, etc) is too high, or it is determined that an individual has too many resources a.k.a assets (i.e. vehicles, land, homes, retirement plans, stocks, bonds, trust funds, etc.) to qualify for disability in the program, then the social security representative may issue an informal denial.

An informal denial basically saves interview time for the disability applicant, because they will not be required to provide all the information involved in a full claim. Of course, an individual has the right to request a formal denial for Supplemental Security Income disability on the basis of income or resources, however this will require a full disability interview with a claims representative.

Social Security disability and Supplemental Security Income disability both use technical denials. Basically, you could consider technical denials to be formal non-medical denials.

For instance, as I mentioned above you can request a formal denial for Supplemental Security Income benefits based upon your income or resources. Supplemental Security Income claimants may also receive a technical denial because of substantial gainful work activity. If an individual is working and earning over the substantial gainful activity monthly amount (set each year by Social Security), their disability claim will receive a technical denial and will not be forwarded to the state disability agency for a medical determination.

Social Security disability technical denials might be based upon the following: 1) lack of insured status (i.e. you have not earned enough quarters to be covered or you have not worked enough in the last ten years to be insured for disability), 2) inability to prove relationship in the case of adult disabled children or disabled widow/ widower disability claims, 3) failure to cooperate (when an individual has not cooperated with the claims representative or disability examiner by providing necessary information needed to forward their disability claim to the state disability agency for a decision), or 4) performance of substantial gainful activity as mentioned above.

All technical and informal denials occur before an individualís disability claim is sent for a medical determination, except for failure to cooperate technical denials.

What determines if a failure to cooperate denial is a medical or non-medical denial? If the state disability agency denies a disability claim for failure to cooperate, it is considered a medical determination. However, if a claims representative denies the disability claim prior to sending it to the state agency it is considered a non-medical denial.

Since technical denials require an actual determination by Social Security, they also contain appeal rights. This means an individual has certain amount of time to disagree with a decision by requesting that the denial be reconsidered.








Return to:  Social Security Disability Resource Center, or read answers to Questions








Related pages:

Winning Social Security Disability Benefits For Mental Disorders
Do I Have To Quit My Job To qualify and Get Disability?
Mental disorders and filing for SSD or SSI
How to start a disability appeal with Social Security
How to file for disability in Missouri
SSI disability Application Requirements
What A Social Security disability determination is based on
Are you required to have an attorney at a disability hearing?
Filing for disability with aspergers
The amount of back pay that you receive
How to file for disability in New Mexico
Filing for disability with arthritis, osteoarthritis
Should you get a Disability Lawyer before you File
If You Get Social Security Disability or SSI, Will Your Dependents Get A Check?
How to file for disability, tips to start



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 provide answers to basic questions about pursuing disability benefits

What mental problems qualify for disability?
SSI disability status
How to prove you qualify for disability
Qualifying for disability eligibility requirements
How Does Social Security Decide If You Are Disabled
How much does disability pay?
Factors involved in Winning SSDI or SSI Claims
Applying for disability with Degenerative Disc Disease
How long to get a Social Security decision letter?
What Does Social Security Consider To Be a Disability?
The amount of back pay that you receive
Social Security medical disability determination process
If You Get Approved For SSDI Will You Also Get Medicare?
How long can you receive SSI or Social Security disability benefits?
How Long Does A Social Security Disability Appeal Take?
How Long Does It Take To Get Disability Benefits When You First File?
Can you work if you get SSI disability?
Social Security Disability attorney fees
Am I eligible to receive disability benefits?
What are the non medical requirements for disability
How to get SSI
Approved for disability benefits
SSD SSI disability hearing decision