Denied Social Security Benefits? Learn How to Appeal and Navigate the Process

Well, denial of social security claims is a very frustrating experience, but do not give up hope because there is another procedure called Reconsideration through which you can appeal and have a second review of your case by the SSA. It helps to clear errors or present fresh evidence to support your claim.

Here’s a step-by-step guide on how to walk through the reconsideration process and increase your chances of winning the appeal.

Denial

The SSA denies your application, and they send a denial notice that explains why. This document lists the reasons for the rejection, which could be any of the following: >

Insufficient medical evidence: Your condition may not meet SSA’s strict disability criteria.
Eligibility issues: You may not have enough work credits or meet financial requirements.
Incomplete or incorrect application: Lack of documents or mistakes in your claim may result in denial.

Carefully read this notice to know what led to the denial. This knowledge is essential for preparing a stronger reconsideration request. >

Reconsideration

Reconsideration is the first step in appealing an SSA denial. In this stage, the SSA re-examines your application, taking into account new or updated evidence. >

How to File

To start the reconsideration process, submit your request within 60 days of receiving your denial notice. Filing late can disqualify your appeal, so act promptly.

Here are your options for submitting a request:

Online: Log in to your my Social Security account on the SSA website and follow the instructions to request reconsideration.
Phone: Call the SSA directly at 1-800-772-1213 to initiate the appeal.
Form SSA-561: Obtain the “Request for Reconsideration” form here or call. Fill it in and mail back to your SSA office.

Any way you do it, present any new info or evidence in support of your claim. >

Evidence

New information and more information can really turn things around in your favor. Examples include,

Recent medical findings that confirm a disability.
A statement from any physician as to how your impairments affect his or her capacity to work.
Work and income records if eligibility was an issue.

The more thorough and relevant your documentation, the stronger your case.

SSA Review

Once your reconsideration request is submitted, the SSA will reexamine your claim. They will review the original application, denial notice, and any new documents you’ve provided.

In some cases, the SSA may request additional information to clarify your eligibility. Be responsive to their requests and provide the necessary materials quickly.

It will take some time, even a few weeks. If you have an appeal and it gets accepted, then you will receive the approval letter, which also outlines your benefits. If your denial is confirmed, then do not lose hope as you may ask for a hearing before an administrative law judge.
A denial is not a no. A good number of applicants win at the reconsideration stage, especially with new evidence.