Why Are Some Social Security Disability Insurance (SSDI) Claims Denied?
Are you wondering why some Social Security Disability Insurance claims get denied?
My name is Kaitlin Wildoner, and I’m an attorney who helps disabled clients obtain their disability benefits as quickly as possible so they can focus on getting better.
Today we’re going to talk about why some SSDI cases tend to be denied.
Common Reasons SSDI Claims Are Denied
First, it’s important to note that there are many different reasons as to why a Social Security Disability Insurance claim may be denied. Here are some of the most common reasons that we see:
1. Insufficient Medical Evidence
Many SSDI claims are denied due to a lack of comprehensive medical evidence. To qualify for SSDI, there must exist medical documentation that substantiates the severity and duration of your condition.
Inadequate medical records or insufficient detail about your condition can lead to a denial.
2. Failure to Meet Eligibility Criteria
Some claims do not meet the basic eligibility criteria for SSDI, such as the work credit requirement or the definition of a qualifying disability.
If you do not have enough work credits or your condition does not meet the Social Security Administration’s definition of disability, your claim may be denied.
3. Substantial Gainful Activity (SGA)
Engaging in substantial gainful activity while applying for SSDI benefits can result in a denial.
If your earnings exceed the substantial gainful activity threshold—which is updated annually—the Social Security Administration may conclude that you are not disabled enough to qualify for benefits under their rules.
4. Non-Compliance or Lack of Cooperation
Failing to cooperate with the Social Security Administration, attend required medical exams, or provide requested documentation can lead to claim denials.
It’s important that you follow the Social Security Administration’s instructions and meet all deadlines during the application and appeals process.
5. Inaccurate or Incomplete Applications
Errors or omissions on your SSDI application can result in a denial.
It’s important that you complete the application completely and accurately, providing comprehensive information about your medical condition, work history, and other required details.
What to Do If Your SSDI Claim Is Denied
Those are just some of the more common reasons that we see Social Security Disability Insurance claims get denied. However, there can be other factors at play in your specific case.
If your claim is denied, it’s important that you consult with an experienced Social Security disability attorney who can help you understand the denial reason and guide you through the appeals process.
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