Why Disability Claims Are Denied

Your SSDI or SSI application may be denied for reasons such as:

• Lack of sufficient medical evidence
• Failure to follow prescribed treatments
• Earning more than the allowed Substantial Gainful Activity (SGA) limit
• Incomplete or inaccurate information on the application
• The SSA believes you can still do some form of work

Steps to Appeal a Disability Denial in Nevada

You have 60 days from the date you receive your denial notice to begin the appeal process. Here are the four levels of appeal:

1. Reconsideration

• A new SSA representative reviews your original claim.
• You can submit additional evidence to support your case.
• Most reconsideration decisions are still denials, but this step is required before moving forward.

2. Administrative Law Judge (ALJ) Hearing

• If denied again, you can request a hearing before an Administrative Law Judge.
• You’ll present your case in person (or via video), and provide updated medical records or testimony.
• This is often the best chance to get an approval.

3. Appeals Council Review

• If the ALJ denies your claim, you can request a review from the SSA Appeals Council.
• They may uphold the decision, reverse it, or send it back for another hearing.

4. Federal Court

• As a last resort, you can file a lawsuit in federal district court if all SSA appeal levels fail.

Tips for a Successful Appeal

• Respond Quickly: Always file your appeal within the 60-day deadline.
• Gather More Evidence: Update your file with new medical records, test results, or letters from physicians.
• Be Consistent: Ensure your medical history and statements about your condition are consistent across forms and records.
• Stay in Treatment: Regular doctor visits help document the persistence and severity of your condition.
• Consider Representation: While not required, many applicants find success increases with professional assistance.