If your application for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) was denied, you are not alone. Many applicants face denials after their initial submission. One of the most common reasons for denial is insufficient medical evidence. When you request reconsideration, you have an opportunity to provide new or updated medical evidence to support your case. This evidence can be crucial to reversing the denial and receiving the benefits you need.
Why Medical Evidence is Critical in Disability Claims
Medical evidence is the foundation of any disability claim. The Social Security Administration (SSA) relies heavily on your medical records to decide whether your condition meets their definition of disability. If your records are incomplete, unclear, or do not fully demonstrate how your condition limits your ability to work, your application may be denied.
When you request reconsideration, you can submit new evidence to fill in the gaps. This additional documentation can show changes in your health, new diagnoses, or further details about your limitations that may not have been clear in your initial claim.
Steps to Take After an SSDI or SSI Denial
After receiving a denial, the reconsideration process allows you to correct issues that may have led to the initial decision. Gathering new medical evidence is one of the most important steps you can take. Here’s how to approach it effectively.
Review Your Denial Letter
The denial letter from the SSA explains why your claim was not approved. Carefully review this letter to understand what the SSA believed was missing or insufficient. This can guide you in gathering the right types of evidence for reconsideration.
Collect Updated Medical Records
If you have continued receiving treatment since submitting your initial application, those newer records can be valuable. Updated records can show the progression of your condition, additional treatments you have tried, and any new symptoms or complications that have developed. The more complete your records, the stronger your reconsideration request will be.
Request a Detailed Medical Opinion from Your Doctor
In addition to official records, it can be helpful to ask your doctor to provide a written opinion about your condition. This statement should describe your diagnosis, treatment history, symptoms, and how these symptoms affect your ability to work. Your doctor should also include specific limitations, such as how long you can sit, stand, or concentrate, and whether your condition is expected to improve.
Consider Additional Testing if Needed
If your initial records lacked objective evidence, such as imaging or specialized tests, you may want to discuss further testing with your doctor. This might include X-rays, MRIs, blood tests, or functional capacity evaluations that clearly show the physical or mental limitations caused by your condition. Objective tests can provide concrete evidence that supports your claims.
Track New Symptoms and Limitations
If your condition has worsened or changed, keeping a personal log of symptoms can be helpful. Document pain levels, how long you can sit or stand, or how frequently you need to rest during the day. This personal account can help your doctor better understand your daily challenges and include them in your updated medical records.
Types of Evidence That Strengthen Your Reconsideration Request
The goal of gathering new evidence is to present a clearer picture of your health and limitations. Strong evidence can include:
- Office visit notes from your doctors and specialists
- Hospital or emergency room records
- Imaging results, such as MRIs or CT scans
- Results of physical therapy or rehabilitation assessments
- Mental health evaluations, if applicable
- Medication lists showing ongoing treatment efforts
This evidence helps the SSA see not just your diagnosis, but how your condition prevents you from performing regular work-related activities.
Mistakes to Avoid When Submitting New Evidence
While new evidence can strengthen your case, certain missteps can weaken your reconsideration request. Avoid these common mistakes:
- Submitting duplicate records without adding anything new
- Failing to follow your doctors’ recommended treatments
- Providing vague information about your symptoms and limitations
- Missing important deadlines when requesting reconsideration
Being thorough and timely with your evidence can make a significant difference in the outcome of your case.
How Legal Help Can Make a Difference
The reconsideration process can be confusing and stressful, especially when you are already dealing with a serious health condition. An experienced employment law attorney can assist by helping you:
- Understand exactly what the SSA needs to see to approve your claim
- Work with your doctors to ensure they provide clear, detailed records
- Gather all necessary evidence and submit it within the required timeline
- Represent you if your case progresses to a hearing
A denial does not mean you are out of options. By carefully gathering new medical evidence and presenting a complete, well-documented case during reconsideration, you can significantly improve your chances of securing the SSDI or SSI benefits you deserve. If you need guidance with your case, seeking legal advice can be a smart way to ensure your rights are protected and your application is as strong as possible. Call PLBH at (800) 435-7542 for a free legal consultation.