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Why does the Social Security Administration deny some claims?

On Behalf of | Feb 21, 2020 | Firm News

A serious medical condition can affect your life in many ways. It can take a financial toll as you try and pay your medical bills and get other types of support you may need. In some cases, a serious physical disability or mental condition can impact the ability to work, which obviously causes additional financial complications. This is why many California adults who have a disabling condition seek support through a disability claim with the Social Security Administration.

The SSA reviews these claims and then decides if the applicant should receive disability benefits. Unfortunately, not every claim is successful, and many initial claims come back denied. If this happened to you, it may feel like a setback, but it is not the end of the road for you. Through the appeals process, you may still be able to secure the benefits you need and deserve.

Why did they deny your claim?

You completed the application, and you included the documentation the SSA requires for these claims. Despite these things, you were not successful in your attempt in securing disability benefits. It may help to know that many first-time applicants have been in your shoes. The SSA holds a strict definition of disability, and many deserving applications have to appeal. First, it can help to understand why your claim came back denied. Some of the most common reasons for this include:

  • It appears that your disabling condition is not long-term, or you will likely not have a disability for less than one year.
  • The SSA has been unable to contact you about your claim to ask questions or confirm information.
  • It is possible your disability is the result of drug or alcohol abuse now or in the past.
  • You did not follow doctor’s orders regarding your medical treatment, therapy, medication, rehabilitation and other types of treatment.
  • Your income is too high, therefore making you ineligible for disability benefits.
  • You did not include sufficient medical documentation in your claim, such as records that verify the treatment you required.

Once you understand why your claim came back denied, you can move forward with the appropriate course of action. If there was a mistake, misunderstanding or other type of error that prevented approval, you may want to speak with an experienced attorney regarding how you can appeal. This is a lengthy and complicated process, but you do not have to fight for this type of support on your own.