Reasons Why A Social Security Disability Claim Might Be Denied
Aside from failure to meet the legal and factual requirements for Social Security Disability, there are other reasons that a claim might be denied:
- Drug Addiction or Alcoholism - Since March 29, 1966, a person CANNOT be found disabled if drug addiction or alcoholism is found to be "material" to the disability. That is, if Social Security determines that the applicant would not be disabled except for the substance abuse, the claim must be denied.
- Failure to Cooperate - Social Security has numerous administrative requirements for the provision of information, questionnaires and medical releases. Failure to respond to each element of the appeal process can result in claim denial.
- Failure to Timely File Request Reconsideration or Appeal - If Social Security denies a claim, the applicant is generally allowed 60 days plus mailing time, to file a Request for Reconsideration and an Appeal. Although there are exceptions to the rule, failure to timely file the paperwork can terminate the appeal process.
- Failure to Follow Prescribed Treatment - A Social Security Disability applicant cannot refuse reasonable prescribed treatment. That is, a claim can be denied if the applicant refuses to undergo treatment from a doctor, if the treatment has a chance of restoring the ability to work.
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