You filed your claim and received a denial notice in the mail a few months later. You probably ask, “Why was it denied, and what could I have done to bolster my SSDI claim application?” The Social Security Administration will explain their decision and why your claim was denied in your letter; however, this explanation is not very thorough or enlightening. 
Let’s explore why a claim is denied and then possible next steps you can take to receive the benefits you deserve.
Your Claim Was Not Supported With Enough Substantial Medical Evidence
What Happened:
The Social Security Administration “SSA” needs accurate and current medical documentation to confirm the duration and severity of your disability. Without sufficient documentation, the SSA will be able to disqualify your application. If you have missing medical test results, outdated medical information, or insufficient records from your licensed medical provider, your claim will most likely be denied.
What You Can Do Next:
Gathering all appropriate documentation and meeting with your healthcare provider to ensure all your records are current is critical to your claim. Be aware that the same treatment notes might be transitioned from office visit to office visit. Ensure that your provider is updating your treatment notes properly. Also, at this time, it would be a wise decision to meet with an SSDI attorney who can help you appeal your denied claim.
You Failed To Follow Your Doctor’s Prescribed Treatment Plan
What Happened:
The SSA can deny your claim if you did not follow your doctor’s prescribed treatment plan. The goal of Social Security Disability Insurance is to provide you with financial assistance if you cannot work or to provide you with financial resources while you actively work on improving your medical situation so you may return to work. The SSA will deny your claim if you do not follow your doctor’s treatment plan.
What You Can Do Next:
Following your healthcare provider’s prescribed treatment plan is essential to improve your situation. However, if your treatment plan conflicts with your religious beliefs, causes severe side effects, or causes financial duress, these can be supporting factors for non-compliance. You must document all of these scenarios if they apply to your medical situation. You can discuss alternative treatment options with your doctor or meet with an SSDI attorney to discuss the next steps for appealing your denial.
Your Condition Was Not Considered Severe Enough To Inhibit You From Working
What Happened:
The SSA evaluates the severity of a disability based on how much it limits your working capacity for at least 12 months. If the Social Security Administration believes your condition did not severely inhibit your working abilities, your claim will most likely be denied.
What You Can Do Next:
If your claim was denied due to the SSA stating your condition was not severe enough, it is important to gather more medical documentation, receive further evaluations from licensed healthcare professionals, and keep a daily journal of how your medical condition impacts your life. Also, if you need assistance in navigating the next steps, it is recommended to consult with an attorney.
You Are Earning Too Much Income To Qualify
What Happened:
The SSA evaluates your income and your “Substantial Gainful Activity,” known as “SGA.” If you are earning more than the SGA limit, the SSA will not consider your disability as detrimental to your ability to work. This will result in a technical denial of your claim, despite the possibility of being approved due to your medical impairments.
What You Can Do Next:
It is important to keep yourself updated on the SSA’s SGA limit, which is annually adjusted for inflation. Also, document the trend of your disability and its impact on your ability to earn income. It is particularly important to document any special accommodations you are receiving through your employer that allow you to continue working despite your limitations. If your income drops below the SGA limit, you can be eligible for Social Security Disability Insurance (SSDI), provided you have sufficient work credits and meet the required qualifications.
Next Steps, Qualifications, And Meeting With An Attorney
It is difficult to obtain Social Security Disability Insurance. Receiving a denial from the Social Security Administration is common, and navigating the appeals process can be a daunting experience. Please review the SSDI requirements and qualifications on our FAQ page
We understand that your inability to work due to your disability can make your financial situation troubling and uncertain. If you believe your claim was denied and you meet the qualifications, our team of compassionate and experienced SSDI representatives is here to help you receive the benefits you deserve. Contact Michael Armstrong Law using the methods below: