Common Reasons for SSDI Denial in North Carolina

Several factors can lead to an SSDI denial, and understanding them can help you avoid mistakes during your appeal:

• Lack of Medical Evidence: The SSA needs comprehensive medical documentation proving that your condition prevents you from working.
• Failure to Follow Treatment: Not following prescribed treatments can raise doubts about the severity of your condition.
• Previous Work Capability: The SSA may believe you can still perform your past work or another type of work.
• Income Above Threshold: If you’re working and earning more than the substantial gainful activity (SGA) limit, your claim may be denied.
• Incomplete or Inaccurate Application: Mistakes or missing information can result in automatic denials.

Steps to Take After Your SSDI Denial

If your SSDI claim is denied, you have the right to appeal the decision. The appeals process includes multiple levels, and acting quickly is important.

1. Review Your Denial Letter

Carefully read the denial notice to understand why your claim was rejected. This can guide you on how to strengthen your appeal.

2. Request a Reconsideration

You have 60 days from the date of your denial letter to request a reconsideration. At this stage, a new SSA reviewer will evaluate your claim using the same evidence, so submitting additional medical documentation can help.

3. Request a Hearing Before an Administrative Law Judge (ALJ)

If reconsideration is denied, you can request a hearing. This is a crucial step where you can present new evidence and testify about your condition. In North Carolina, hearings are held at regional SSA offices, such as those in Raleigh, Charlotte, and Greensboro.

4. Prepare Thoroughly for the Hearing

• Collect updated medical records and any new diagnoses.
• Request detailed written statements from your doctors.
• Prepare a clear explanation of how your condition affects your daily life and ability to work.

Tips to Strengthen Your Appeal

• Stay Consistent with Medical Treatment: Continue seeing your healthcare providers and following all treatment plans.
• Keep Track of All Documentation: Maintain organized records of medical visits, test results, medications, and correspondence with the SSA.
• Submit New Evidence Promptly: If you receive new medical information, submit it as soon as possible to strengthen your case.
• Meet Deadlines: Missing deadlines can cause your appeal to be dismissed.