1. Understand Why Your Claim Was Denied

Before starting your appeal, carefully read the denial notice from the SSA. This letter outlines:

• The specific reasons for denial (such as insufficient medical evidence, not meeting SSA’s disability criteria, or earning above substantial gainful activity limits)
• The deadline for filing your appeal
• Information on your right to request a reconsideration

Identifying the weaknesses in your initial application allows you to address them thoroughly during the appeals process.

2. File a Request for Reconsideration

The first step in appealing a denial is filing a Request for Reconsideration:

• Deadline: You must file within 60 days of receiving your denial notice
• How to file:
• Online at ssa.gov under the “Appeal a Decision” section
• By calling SSA at 1-800-772-1213 to request the necessary forms
• At your local Social Security office

During reconsideration, a new examiner will review your claim and any additional evidence you submit. Only about 10-15% of claims are approved at this stage, but providing updated and more comprehensive medical documentation can improve your chances.

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

If your reconsideration is denied, the next step is requesting a hearing with an ALJ:

• Deadline: Submit your hearing request within 60 days of the reconsideration denial
• Preparation:
• Gather all updated medical records, test results, and doctor’s opinions
• Obtain statements from your treating physicians detailing your limitations and inability to work
• Review your entire file to ensure consistency and completeness

At the hearing, you will testify about your condition, and a Vocational Expert (VE) may testify regarding your ability to perform any jobs given your limitations.

4. Appeals Council Review

If the ALJ denies your claim, you can request a review by the Social Security Appeals Council:

• Function: The council reviews whether the ALJ made legal or procedural errors in deciding your case
• Outcome:
• The council may uphold the ALJ’s decision
• It may send your case back to the ALJ for a new hearing
• Or it may reverse the decision and approve your claim, though this is rare

5. File a Federal District Court Lawsuit

If the Appeals Council denies your request or upholds the ALJ’s decision, your final option is to file a lawsuit in Federal District Court:

• This is a formal lawsuit challenging SSA’s decision
• You will need a qualified disability attorney to represent you, as it involves complex legal procedures

6. Tips for a Successful SSDI Appeal in Rhode Island

• Act promptly: Always file appeals within the stated deadlines to avoid starting over
• Submit updated medical evidence: New test results, treatment records, and doctor’s statements significantly strengthen your appeal
• Be honest and consistent: Any discrepancies in your statements or records can harm your credibility
• Prepare thoroughly for your hearing: Know your symptoms, limitations, and daily struggles in detail
• Consider professional help: Navigating appeals can be complex, and having a skilled attorney increases your chances of approval