denied social security disability claim
By Michelle Shvarts
Principal Attorney

Facing a denial for your Social Security Disability Insurance (SSDI) claim can be disheartening, especially when you rely on these benefits due to a disabling condition.  However, denials are not uncommon, and there are steps you can take to address them. In this comprehensive guide, we will explore the common reasons for SSDI denials in Florida and provide effective solutions. Disability Advocates Group is here to help you navigate this complex process.

Common Reasons for SSDI Denials in Florida

1. Insufficient Medical Evidence

One of the leading causes of SSDI denials is inadequate medical evidence. If your medical records do not clearly demonstrate the severity and impact of your disability, the Social Security Administration (SSA) may deny your claim.

Solution: Work closely with your healthcare providers to ensure your medical records are comprehensive. Consultation with specialists who understand the SSA’s requirements for documentation can be beneficial.

2. Failure to Comply with Treatment

If you are not following prescribed treatments without a valid reason, your claim may be denied. The SSA expects claimants to pursue medically necessary treatment to improve their condition.

Solution: Maintain consistent medical treatment and follow your doctor’s advice. If you cannot afford treatment, consider applying for low-cost or free medical assistance programs.

3. Income and Resources

Your financial situation can impact your eligibility for SSDI benefits. If your income and resources exceed the SSA’s limits, your claim may be denied.

Solution: Ensure your financial information is accurate on your application. Seek legal guidance to understand your options if you are close to the income and resource limits.

4. Inaccurate Information

Errors or inconsistencies in your application can lead to a denial. It’s essential to provide accurate and complete information.

Solution: Double-check your application for accuracy and completeness. Seek assistance from experienced SSDI attorneys at Disability Advocates Group to review your application.

5. Lack of Medical Compliance

Failing to attend medical examinations requested by the SSA can result in a denial. These examinations are essential to evaluate the severity of your disability.

Solution: Attend all scheduled medical examinations and follow the SSA’s requests promptly.

6. Unsubstantiated Claims

Claims that lack medical evidence to support the disability can be denied.

Solution: Ensure your medical records clearly state your diagnosis, the severity of your condition, and how it limits your ability to work and perform daily activities.

7. Missed Deadlines

Failure to meet application or appeal deadlines can lead to denials.

Solution: Keep track of deadlines and consider seeking legal assistance to help you meet these important dates.

Addressing Denials and the Appeals Process

If your SSDI claim in Florida is denied, don’t lose hope. You have the right to appeal the decision. Here’s how:

  1. Request Reconsideration: The first step in the appeals process is to request reconsideration. This involves a review of your claim by a different SSA examiner.
  2. Administrative Law Judge (ALJ) Hearing: If your claim is denied upon reconsideration, you can request a hearing before an ALJ. This is a critical stage where you can present your case and provide additional evidence.
  3. Appeals Council Review: If the ALJ denies your claim, you can request a review by the SSA’s Appeals Council.
  4. Federal Court Review: If all else fails, you can file a lawsuit in federal court.

Working with Disability Advocates Group

Navigating the SSDI appeals process in Florida can be complex and overwhelming. Seeking legal assistance from Disability Advocates Group can significantly increase your chances of a successful appeal. Our experienced attorneys understand the intricacies of SSDI appeals and will work diligently to help you gather the necessary evidence and present your case effectively.

Facing a denial for your SSDI claim in Florida is not the end of the road. There are common reasons for denials, but with the right solutions and the assistance of experienced attorneys at Disability Advocates Group, you can navigate the appeals process successfully. Don’t hesitate to reach out for support in your SSDI journey. We are here to provide the guidance and expertise you need to secure the benefits you deserve.

About the Author
Ms. Shvarts and the rest of the team at Disability Advocates Group are dedicated to assisting individuals in Florida obtain Social Security Disability Benefits (SSDI) and Supplemental Security Income (SSI) benefits.