Social Security Disability Approval Process

Social Security Disability Approval Process Overview

In 2011, 9 million Americans collected over $127 billion in government Social Security disability benefits. However, the Social Security Administration (SSA) denies approximately 60% of all claims based upon the initial evaluation. It can also take up to six months, and sometimes longer, before a decision regarding your initial claim is made.

The help of an advocate or attorney can potentially reduce the time required to receive your benefits by increasing the chance of approval on your initial application. An experienced representative knows how to properly prepare your claim and avoid the pitfalls and mistakes in the Social Security disability approval process that applicants often make when filing independently.

Initial Evaluation

After you submit your disability claim, a representative of the SSA will evaluate your claim to determine if you meet the basic requirements to receive benefits. The representative will also evaluate the amount of income you currently earn on a monthly basis. You do not need to be unemployed to be eligible for disability benefits; however, there is a maximum amount of monthly income you may earn to be eligible. If you exceed that limit, you may be determined ineligible. Find out if you may qualify now.

Disability Determination

Once the SSA representative has determined that you meet the basic requirements of eligibility, your application is advanced to the second level of evaluation. The evaluation is handled by the Disability Determination Services (DDS). The office of DDS will make the initial determination of eligibility for your claim. The DDS consists of a team of evaluators that may include disability specialists such as physicians or psychologists.

Before the DDS makes a determination, an examiner will decide if all the information and documents required have been submitted. If the examiner believes further documentation is needed, a request will be made to your health care provider(s). At this point the DDS may request other information from you or your health care providers that they believe is necessary to evaluate your claim.

Rapid communication is essential to expedite your claim, so be sure to include current contact information as well as a fax number. Because the SSA is frequently sending or requesting documents, a fax number that is easily accessible to you for sending and receiving documents is highly recommended.

Consultative Examination

The DDS will request that you undergo a consultative examination if they determine that your claim cannot be determined based upon the information and documents submitted. A doctor other than your primary physician may perform the consultative examination. However, because your doctor is most familiar with your condition, you may request that the DDS allow your physician to conduct the consultative examination. If the DDS determines that your doctor has the resources and is qualified to conduct the examination, the DDS will approve your request.

Throughout the evaluation, the DDS will consider your health problems and how they might affect your ability to perform previous work experience. They will also consider your level of education and your age. The DDS considers the diagnosis provided by your physician; the severity of the condition; the length of time you have suffered from the condition; and, most importantly, how this condition limits your daily routine and work-related activities. Debilitating factors such as chronic pain, physical limitations, mental limitations, and medication prescribed for these conditions are considered in relation to how they limit your ability to perform any work-like activities.

How Long Does It Take?

The Disability Determination Services (DDS) evaluation process can take up to six months (sometimes longer) before a decision is made on your claim. If your claim is denied, don’t give up—the majority of claims are denied based on the initial application, especially for those who file on their own. This can happen for a variety of reasons: technicalities, inadequate medical documentation, inadequately presenting the disability and other mistakes.
Filing with the help of an advocate or attorney can potentially increase your chance of initial approval and shorten your time to receive benefits. They will know exactly how to complete the forms properly and collect the required documentation to potentially shorten the Social Security disability approval process. To learn more about how the help of an attorney or advocate can potentially improve the time to receive benefits simply request a FREE, no-obligation consultation.

 

Get Your Free Benefits Evaluation