Why does the SSA deny disability claims?

On Behalf of | Sep 22, 2023 | SSDI

When individuals apply for disability benefits with the Social Security Administration, they do so with the hope of receiving financial assistance due to a disabling condition that prevents them from working. However, many applicants find themselves facing a denial of their claim, which can be very disheartening.

Fortunately, there are steps you can take to address a denial. Understanding the common reasons for denial is also beneficial to avoiding issues.

Insufficient medical evidence

When applying for benefits, you must provide comprehensive documentation of your medical condition. This includes medical records, test results and reports from healthcare professionals. Without strong medical evidence, it becomes challenging for the SSA to assess the severity of your condition and its impact on your ability to work.

Inaccurate or incomplete information

Another common pitfall is including inaccurate or incomplete information in your application. In this case, errors in your personal details, work history or medical record can trigger a denial of your application. As a result, you should carefully review and verify all information before submitting your claim to ensure accuracy.

Failure to follow treatment plans

The SSA expects applicants to follow prescribed treatment plans for their conditions based on their doctor’s instructions. If an applicant does not follow the recommended treatment without a valid reason, the SSA may deny the claim. This underscores the importance of adhering to medical advice and demonstrating your commitment to improving your health.

Income and work activity

Sometimes, the SSA denies an application because a person’s income or work activity exceeds the established limits. You must understand the income thresholds and work requirements set by the SSA to avoid potential denials. If you continue to work despite your disability, your claim may not be valid.

According to USAFacts.org, the SSA denies roughly 62% of the initial applications it receives. However, all hope is not lost with a denial, as you have the right to appeal the decision.