1. Why Are SSDI Claims Denied?

Before appealing, review your denial notice carefully to understand SSA’s reasons. Common reasons for denial include:

• Lack of sufficient medical evidence proving your disability
• Your condition is not considered severe enough to prevent Substantial Gainful Activity (SGA)
• Failure to meet work credit requirements for SSDI
• Incomplete or inaccurate application information

Addressing the specific reasons for denial will strengthen your appeal.

2. The Four Levels of SSDI Appeals in Nevada

A. Reconsideration

• What It Is: The first step is to request a Reconsideration, which is a complete review of your application by someone who was not involved in the initial decision
• How to File: Submit a Request for Reconsideration (Form SSA-561-U2) within 60 days of your denial notice
• What to Include: Updated medical evidence, new treatment records, or additional documentation supporting your claim

B. Hearing Before an Administrative Law Judge (ALJ)

• What It Is: If reconsideration is denied, you can request a hearing before an ALJ
• How to File: Submit a Request for Hearing (Form HA-501) within 60 days of the reconsideration decision
• What Happens: You will testify under oath, and the judge will review your medical records, ask questions about your condition, and may consult vocational or medical experts

C. Appeals Council Review

• What It Is: If the ALJ denies your claim, you can request the Appeals Council to review your case
• How to File: Submit a Request for Review (Form HA-520) within 60 days of the ALJ’s decision
• Possible Outcomes: The Appeals Council can deny your request, approve your claim, or send your case back to the ALJ for further review

D. Federal Court Review

• What It Is: If the Appeals Council denies your review or upholds the ALJ decision, your final option is to file a lawsuit in federal district court
• How to File: Your attorney will prepare and file a complaint within 60 days of the Appeals Council decision to initiate the court process

3. Tips to Strengthen Your SSDI Appeal in Nevada

• File your appeal on time: Each stage has a strict 60-day deadline
• Submit new medical evidence: Include updated treatment records, specialist evaluations, and imaging studies to show your condition has not improved
• Get detailed doctor statements: Ask your physicians to write thorough letters explaining how your condition limits your ability to work
• Prepare thoroughly for your hearing: Practice explaining your symptoms, daily limitations, and work history clearly
• Consider legal representation: Disability attorneys improve your chances of approval by navigating the complex SSA appeals process and advocating for you effectively

4. How Long Does the SSDI Appeals Process Take in Nevada?

The timeline varies by appeal level:

• Reconsideration: Usually 2 to 4 months
• ALJ Hearing: Often 6 months to over a year, depending on the hearing office backlog
• Appeals Council Review: Approximately 12 to 18 months
• Federal Court Review: Typically 1 to 2 years

Being patient and persistent throughout the appeals process is essential.