Allsup Explains Why Social Security Disability Claims Can Be Denied Following Recent Report

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Recent Social Security report lists top reasons for final medical denial of SSDI benefits.

Mike Stein, assistant vice president of claims, Allsup

Mike Stein -- Allsup

The criteria to receive SSDI benefits are extremely stringent, so it’s important to talk with a representative like Allsup to better understand how you might qualify for Social Security benefits. – Mike Stein, Allsup.

More than 630,000 people applying for Social Security Disability Insurance (SSDI) benefits experienced medical denials in 2011, illustrating the importance of understanding how to qualify for SSDI, according to Allsup. The Belleville, Ill.,-based company has helped hundreds of thousands of people qualify for SSDI benefits.

According to the recently released 2012 Annual Statistical Report on the Social Security Disability Insurance Program, the top reasons for final medical denials were:

  •     The impairment was found not to be severe enough (24.5 percent of claims denied)
  •     The person was able to do their past work (22.7 percent), or
  •     The person was found able to do other type of work (32.4 percent).

“The criteria to receive SSDI benefits are extremely stringent, so it’s important to talk with a representative like Allsup to better understand how you might qualify for Social Security benefits,” said Mike Stein, assistant vice president of claims with Allsup.

“For example, your disability must be severe enough to demonstrate that you are unable to work for 12 months or longer, or that it is terminal,” Stein explained. “A common reason for an SSDI claim to be denied is because the Social Security disability examiner states that the disability is not severe enough to keep you from working.”

Rounding out the reasons for 631,552 final medical denials were that the impairment did not or is not expected to last 12 months (5 percent) and “other” (15.5 percent), which covers reasons such as insufficient medical evidence and lack of claim development.

SSDI is a federally mandated insurance program that provides monthly benefits to individuals who are under full retirement age (65-67) and who can no longer work because of a severe, long-term or terminal disability. FICA payroll taxes paid by workers and their employers fund the program, which is administered by the Social Security Administration.

“One common question is ‘Why did Social Security deny my SSDI benefits?’” Stein said. “Unfortunately, the SSDI application process can be very complicated because of the medical and work records required, the amount of detail the application process involves, and the complex rules the SSA follows.”

There may be a number of reasons for an SSDI claim to be denied, Stein added. SSA also evaluates someone’s work history and the types of jobs they worked in the past. “Documentation and records are extremely important, and an SSDI representative can help you to evaluate your eligibility for benefits before you apply.”

Individuals may file an appeal and seek the help of an expert SSDI representative like Allsup, he added.

Find more information about disability appeal representation on Allsup’s website,

To answer questions about eligibility for SSDI benefits, contact an Allsup SSDI specialist for a free evaluation at (800) 678-3276.

Allsup is a nationwide provider of Social Security disability, veterans disability appeal, Medicare and Medicare Secondary Payer compliance services for individuals, employers and insurance carriers. Allsup professionals deliver specialized services supporting people with disabilities and seniors so they may lead lives that are as financially secure and as healthy as possible. Founded in 1984, the company is based in Belleville, Ill., near St. Louis. For more information, go to or visit Allsup on Facebook at

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