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The Top Reasons Social Security Disability Claims Are Denied (and How to Avoid Them)

Mark J. Keller, Esq
Hand holding a card with "CLAIM DENIED" in bold black and red text. Background shows a person in a suit. Mood suggests rejection.

Common Errors in Applications

Filing for Social Security Disability (SSD) benefits requires attention to detail. One of the most common reasons claims are denied is incomplete or incorrect application forms. Missing fields, inconsistent information, and errors in personal details can cause unnecessary delays or outright rejection.


Another frequent mistake is omitting supporting documentation, such as medical records or proof of employment history. These documents play a critical role in demonstrating eligibility. Applicants who fail to provide all necessary evidence often face denials. Ensuring applications are complete and accurate from the start is essential to avoiding these common pitfalls.


Misunderstanding Eligibility Requirements

Many claims are denied because applicants misunderstand the eligibility criteria. SSD benefits support individuals with a qualifying disability that prevents them from engaging in substantial gainful activity (SGA). Additionally, applicants must meet specific work history requirements by earning enough work credits.


Some applicants misinterpret what qualifies as a disabling condition under the Social Security Administration's (SSA) rules. The SSA maintains a list of impairments that automatically qualify. Conditions not on the list may be eligible if they meet specific criteria. Understanding these requirements and accurately assessing one's eligibility is crucial to avoiding denial.


The Importance of Accurate Medical Evidence

Accurate and thorough medical documentation is the cornerstone of a successful SSD claim. Claims are often denied when the provided medical records fail to demonstrate the severity or duration of the disability. Inconsistencies in medical records, such as gaps in treatment or conflicting diagnoses, can also raise red flags.


Working closely with healthcare providers to obtain detailed and consistent medical evidence is essential. Records should include diagnostic tests, treatment plans, and statements from physicians outlining the condition's impact on daily activities and work capabilities. Comprehensive documentation strengthens the claim and reduces the likelihood of denial.


Appealing a Denial

A denial is not the end of the road for SSD applicants. The SSA provides an appeals process that includes several stages, such as reconsideration, hearings before an administrative law judge, and further appeals if necessary. Each stage offers an opportunity to address the reasons for the initial denial.


Proper preparation is key to a successful appeal. Applicants should review the denial notice carefully to understand the specific reasons for the decision. Gathering additional evidence, correcting errors in the application, and presenting a well-organized case can improve the chances of a favorable outcome. Legal assistance can provide invaluable guidance during this process.


Contact The Law Office of Mark J. Keller

Avoiding common mistakes and understanding the intricacies of the SSD application process can make the difference between approval and denial. For individuals navigating this complex system, guidance is available to help ensure success. The Law Office of Mark J. Keller supports those seeking disability benefits, from application preparation to appeals.

To learn more or schedule a consultation, call 718-297-1890, email markjkelleresq@yahoo.com, or complete the contact form on the firm’s website. Don't let the challenges of the SSD process prevent you from receiving the benefits you deserve.


Social Security Disability denial, SSD application mistakes, disability appeals process, accurate medical documentation, SSD eligibility requirements

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