1. Why SSDI Claims Are Denied

Common reasons for SSDI claim denials in Georgia include:

• Lack of sufficient medical evidence to prove disability
• Failure to follow prescribed treatment
• Earning income above the Substantial Gainful Activity (SGA) limits
• Incomplete or inaccurate application forms
• Not meeting SSA’s definition of disability

Knowing why your claim was denied is critical to strengthen your appeal.

2. The SSDI Appeals Process in Georgia

The appeals process has several stages:

A. Reconsideration

• What it is: The first appeal stage where your claim is reviewed by a different examiner.
• How to request: File Form SSA-561 (Request for Reconsideration) within 60 days of receiving your denial notice.
• What to submit: Include updated medical records, new treatment notes, or any additional documentation to support your disability.
• Outcome: The SSA will issue a new decision based on the review of your initial and newly submitted evidence.

B. Hearing Before an Administrative Law Judge (ALJ)

If reconsideration is denied:

• Request a hearing: File a request within 60 days of the reconsideration denial.
• What to expect:
• A hearing before an ALJ where you can testify about your condition.
• Medical and vocational experts may provide opinions.
• Your attorney or representative can present arguments on your behalf.
• Preparation: Ensure all medical evidence is up to date, obtain statements from treating doctors, and understand how your condition prevents you from working.

C. Appeals Council Review

If the ALJ denies your claim:

• Request review: File with the SSA Appeals Council within 60 days.
• What they do: The Appeals Council may:
• Deny your request
• Send your case back for another hearing
• Decide the case themselves based on the record

D. Federal Court Review

If the Appeals Council denies your request or upholds the ALJ’s decision:

• Next step: File a lawsuit in U.S. District Court to seek judicial review of your denial.
• Legal representation is crucial at this stage due to the complexity of federal court proceedings.

3. Tips to Strengthen Your SSDI Appeal

• Review your denial notice carefully to understand specific reasons for denial.
• Gather comprehensive medical evidence, including updated doctor’s notes, imaging, lab results, and functional capacity evaluations.
• Obtain detailed statements from your treating physicians explaining how your condition prevents you from working.
• Comply with all treatments prescribed by your doctors unless medically justified otherwise.
• Consult a disability attorney or representative to ensure forms are filed accurately and deadlines are met.

4. Deadlines Are Critical

Each appeal level requires that you file within 60 days of your denial notice date. Missing deadlines can result in losing your right to appeal, requiring you to start a new application.