Why Was Your Disability Claim Denied?

The Social Security Administration (SSA) may deny your claim for several reasons:

• Incomplete or insufficient medical evidence
• Failure to prove your condition prevents substantial gainful activity (SGA)
• Missing deadlines or errors in your application
• A belief that you can do other work
• Lack of work credits (for SSDI)

Understanding the reason for your denial is critical before moving forward. The SSA will explain their decision in the denial letter.

Step 1: Request a Reconsideration

In Rhode Island, your first step is to file a Request for Reconsideration within 60 days of receiving your denial.

• A different SSA examiner will review your claim.
• You can submit new or updated medical records to strengthen your case.
• It’s important to respond quickly — missing the deadline can result in starting over.

Step 2: Request a Disability Hearing

If reconsideration is denied (as it often is), you can request a hearing before an Administrative Law Judge (ALJ).

• This is your best opportunity to explain your situation in person.
• You may bring witnesses (such as doctors or caregivers).
• Providing detailed documentation and expert opinions can significantly help.

Step 3: Appeals Council and Federal Court

If the ALJ also denies your claim, you can escalate your appeal to:

1. The Appeals Council, which reviews the ALJ’s decision.
2. Federal District Court, where a judge can overturn SSA decisions.

These are more complex stages, and legal representation is highly recommended at this point.

How to Improve Your Chances After a Denial

• Update your medical records with recent visits and new diagnoses.
• Follow treatment plans exactly as prescribed.
• Get a detailed letter from your treating physician explaining your functional limitations.
• Keep a symptom journal to document how your condition affects your daily life.