Social Security Disability Lawyer Monroeville

Navigating the complexities of Social Security Disability benefits can feel overwhelming—especially when you’re already facing the challenges of a serious illness or injury. At Porta Clark & Ward, our team is here to help Monroeville residents secure the support they deserve. As a dedicated social security disability lawyer serving the local community, we understand how critical these benefits are to your financial and personal well-being. Whether your claim has been denied or you’re unsure where to begin, we’re ready to guide you every step of the way. Call us today at (412) 912-2381 to schedule your free consultation and take the first step toward peace of mind.

Why Social Security Disability Claims Are Denied and What You Can Do About It

Filing for Social Security Disability Insurance (SSDI) can be a complex and frustrating process. Many applicants expect to receive approval, only to find that their claims are denied. This can be discouraging, especially when you’re dealing with a serious medical condition that impacts your ability to work. Understanding the common reasons why SSDI claims are denied can help you avoid mistakes and better prepare for the process.

Insufficient Medical Evidence

One of the leading causes of SSDI claim denials is insufficient medical evidence to support your disability. The Social Security Administration (SSA) requires detailed and thorough documentation of your medical condition, including treatment records, test results, and physician evaluations. Without this information, it’s difficult to prove that you are unable to work due to your disability.

What you can do: When applying for SSDI, make sure your medical records are up-to-date and comprehensive. Include reports from all doctors, specialists, and hospitals that have treated you. If your condition has worsened over time, ensure that your application reflects the most current information. The more detailed your medical evidence, the better your chances of approval.

Failure to Meet the Work History Requirements

SSDI is designed to help individuals who have worked for a certain number of years and paid into the Social Security system through payroll taxes. If you haven’t accumulated enough work credits, your claim may be denied. The number of work credits you need depends on your age at the time of disability. Generally, you need 40 work credits, 20 of which must have been earned in the past 10 years. Younger workers may qualify with fewer credits.

What you can do: Review your work history and ensure that you meet the required work credits for SSDI eligibility. If you have a gap in your employment, it may still be possible to qualify under specific circumstances, so consulting with an experienced Social Security disability lawyer can be helpful.

Not Following Recommended Treatment

The SSA expects SSDI applicants to follow the treatment plan prescribed by their healthcare providers. If you fail to adhere to recommended treatments, such as taking medications, attending physical therapy, or seeing specialists, the SSA may assume that your condition isn’t as severe as you claim. This can result in a denial.

What you can do: Make sure you follow all prescribed treatments and attend appointments as scheduled. If you miss treatments due to valid reasons—such as financial hardship or extenuating circumstances—make sure to provide an explanation to the SSA. Having clear communication with your doctors about your condition and treatment can help strengthen your case.

The Disability Is Not Severe Enough

Some SSDI claims are denied because the applicant’s condition is deemed not severe enough to qualify for benefits. According to the SSA, a disability must significantly impair your ability to perform basic work functions. This includes the ability to lift, stand, walk, or communicate effectively. If your condition doesn’t meet the SSA’s severity requirements, your claim may be rejected.

What you can do: Make sure your medical evidence clearly shows how your condition impacts your ability to work. You should provide detailed descriptions from your doctors explaining how your condition affects your daily life and work-related tasks. If your condition has worsened, provide updates on how this has changed your ability to perform your job or any job.

Your Condition Doesn’t Meet SSA’s List of Impairments

The SSA has a detailed list of conditions that automatically qualify for SSDI benefits. This list, known as the “Blue Book,” includes impairments such as certain cancers, heart conditions, and neurological disorders. If your disability isn’t listed, the SSA may still approve your claim, but you must prove that your condition is just as severe as one that is listed.

What you can do: If your condition is not on the Blue Book list, you will need to demonstrate that it is medically equivalent to a listed impairment. This can be a complicated part of the application process, so it is helpful to have an experienced disability lawyer on your side to help make this case.

Mistakes on the Application

Another reason SSDI claims are denied is simple errors on the application. These can include missing information, incorrect answers, or failing to disclose all relevant details. While this might seem like a small issue, these mistakes can lead to delays or outright denials.

What you can do: Double-check your application before submitting it. Review all sections to ensure that everything is accurate and complete. If you’re unsure about any part of the application, don’t hesitate to seek guidance from an attorney or a professional who is familiar with SSDI procedures.

Lack of Cooperation with the SSA

The SSA may request additional information or documentation during the processing of your claim. If you fail to cooperate or respond to requests in a timely manner, your claim could be denied. This includes missing deadlines for submitting documents or failing to attend required medical exams.

What you can do: Stay on top of deadlines and promptly respond to all requests from the SSA. If you are having difficulty gathering the requested information, inform the SSA of the situation and ask for an extension if necessary. Consistent communication with the SSA can help prevent unnecessary delays.

Prior Denials Without Appeal

If your claim is initially denied, it’s important to remember that you have the right to appeal the decision. Many applicants mistakenly assume that a denial is final and give up on the process. In reality, the majority of SSDI claims are initially denied, but many of them are approved after an appeal.

What you can do: If your claim is denied, don’t give up. Consider appealing the decision. An attorney experienced in SSDI appeals can help you navigate this process and improve your chances of success. It’s crucial to understand the reasons for the denial and provide additional evidence or clarification to address the SSA’s concerns.

Get the Benefits You Deserve with a Social Security Disability Lawyer in Monroeville

When your health and livelihood are on the line, you need an advocate who understands both the law and your situation. Porta Clark & Ward is proud to stand beside Monroeville residents as a social security disability lawyer, fighting for the benefits you deserve. Don’t let the red tape or a denied claim stop you—let us help you move forward with confidence. Call (412) 912-2381 today for your free consultation.