Unpacking the Reasons Behind Denied Disability Claims


Navigating the realm of disability claims can be a complex and often disheartening process, especially when faced with a denial. Understanding why claims are denied and knowing how to effectively respond are crucial steps in securing the support you need. This article delves into the common reasons behind the denial of disability claims and provides practical advice for those seeking to appeal such decisions. With a focus on persistence and proper documentation, we aim to arm you with the knowledge to navigate the denial process confidently.

Common Reasons for Denial

Disability claims can be denied for a variety of reasons, many of which may be addressed and corrected upon appeal:

  • Insufficient Medical Evidence: One of the leading reasons for denial is the lack of adequate medical evidence to support the claim of disability.
  • Short-term Disability: The Social Security Administration (SSA) requires disabilities to last or be expected to last at least 12 months or result in death.
  • Non-Cooperation: Failure to cooperate with the SSA’s requests for information or medical records can result in a denial.
  • Previous Denials: Some applicants reapply instead of appealing a denial, not realizing that their new claim will likely be denied for the same reasons as the first.
  • Income and Resources: For some disability benefits, higher income or resources may disqualify applicants.

Responding to a Denial

If your disability claim has been denied, do not lose hope. There are strategic steps you can take to appeal the decision:

  1. Understand the Denial Reason
  • Carefully review the denial letter from the SSA to understand the specific reasons your claim was denied.
  1. Seek Legal Assistance
  • Consulting with a legal professional who specializes in disability claims can provide a significant advantage. Consider reaching out to Kentons Law Office for expert guidance through the appeal process.
  1. Appeal in a Timely Manner
  • You typically have 60 days from the date you receive your denial notice to appeal the decision. Prompt action is crucial.
  1. Gather Additional Evidence
  • Compile further medical evidence, including recent medical records, doctor’s statements, and other documentation that supports your claim.
  1. Prepare for Your Appeal Hearing
  • Many appeals involve a hearing before an administrative law judge. Being well-prepared for this hearing, with the help of your attorney, can increase your chances of success.

The Importance of Persistence and Proper Documentation

Persistence is key when dealing with Disability Claim Denied. Many claims are eventually approved upon appeal, especially with the addition of new or missing information. Proper documentation cannot be overstated; it forms the backbone of a successful appeal. Ensure that all medical records, employment history, and personal statements clearly support your case.

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