Receiving a denial letter from the Social Security Administration can be discouraging, especially if you’re living with a serious medical condition and are counting on that support. But a denial is not the end of the road. If you’ve been denied Social Security Disability benefits in or around Philadelphia, PA, it’s important to understand that most initial applications are denied, and there is a formal appeals process available to you.

Why Are So Many Initial Applications Denied?

The SSA denies a large percentage of initial SSD claims, often for reasons unrelated to the validity of the underlying disability. Common reasons include incomplete medical documentation, insufficient work history, income above the substantial gainful activity threshold, or the SSA’s determination that the applicant can still perform some form of work.

Understanding why your claim was denied is the critical first step. The denial letter you receive should include the specific reason for the decision, and that reason shapes what you’ll need to address in your appeal.

The SSA’s appeals process has four levels. The first is reconsideration, where a different SSA reviewer takes a fresh look at your case. Statistically, reconsideration results in denial more often than not, but it is a required step before advancing to the next level.

If reconsideration is denied, you can request a hearing before an Administrative Law Judge (ALJ). This is generally considered the most important stage of the appeals process, and where many claimants see success. You’ll have the opportunity to present your case in person, submit additional evidence, and have witnesses testify on your behalf.

If the ALJ denies your claim, you can appeal to the SSA’s Appeals Council, and beyond that, to federal district court if necessary.

Deadlines and Evidence Matter

One of the most important things to know about the appeals process is that there are strict deadlines. You generally have 60 days from receipt of a denial notice to request the next level of appeal, plus a five-day mail allowance. Missing a deadline can mean starting the process over from scratch, which significantly delays any potential benefits.

Many appeals succeed because claimants are able to provide more thorough documentation the second time around. Updated medical records, detailed statements from treating physicians, functional capacity evaluations, and documentation of how your condition affects your daily life can all strengthen an appeal. Working with a SSD attorney who understands what the SSA looks for can make a meaningful difference in how your appeal is presented.

Don’t Face a Denial Alone

If your SSD claim has been denied in Philadelphia or the surrounding area, Silver & Silver’s Social Security Disability attorneys are here to help. We can review your denial, explain your options, and guide you through the appeals process. Contact us today to schedule a consultation.

Disclosure:

This website is designed to provide only general information. The information presented on this website is not formal legal advice. You should not rely on any general information from any source for making legal decisions. Each legal matter is unique and requires specific attention from a qualified attorney. Unless a representation agreement has been signed with the Law Offices of Silver and Silver, we are not your legal representatives.