Impact of Denial on Future Disability Claims: Understanding the Process and Strategies

When a disability claim is denied, many applicants wonder how this will affect their ability to receive approval in the future. While a previous denial does not inherently bar you from filing again, it is important to understand the process and potential strategies to increase your chances of a successful claim.

Understanding the Denial Process

After a disability claim is denied, the individual must gather and present new and relevant evidence to support their case. The applicant still has the burden of proving the existence of a Medically Determinable Impairment (MDI) that prevents them from performing Substantial Gainful Activity (SGA). The State Agency will continue to use Social Security Administration (SSA) rules and consider other factors such as Age, Education, and Past Relevant Work (PERW).

The SSA does not need to prove anything in the context of a renewed claim; the onus remains on the applicant to provide evidence that their disability has persisted or worsened. Each time the applicant fails to file a timely appeal of a denial, a new application must be processed as if the previous application had never been filed. The only additional condition is that the applicant cannot claim disability benefits before the date of the most recent denial.

Strategies for Resubmitting a Claim

Despite a previous denial, there are steps you can take to increase your chances of approval for future disability claims:

1. Gather New Medical Evidence

The most crucial factor in a disability claim is the medical evidence. If your condition has worsened or if new evidence of related impairments has emerged, make sure to include this in your new application. This can include updated medical reports, a new treatment plan, or test results that support your case.

2. Consider Medical Improvement

Under certain circumstances, a previously denied claim can be “reopened” and approved based on additional medical evidence that shows significant improvement in your condition. It is important to communicate with your healthcare provider to gather any new evidence and highlight any changes in your medical condition.

3. File All Available Appeals

Failing to file a timely appeal can lead to a denial that is final and cannot be reconsidered. File all available appeals to ensure that your case is thoroughly reviewed. Each level of appeal, including reconsideration, hearing, and appeals council, offers an opportunity to present your case more fully and persuasively.

4. Seek Professional Help

Hiring a disability attorney or working with a reputable disability advocate can significantly improve your chances of approval. These professionals have experience navigating the complexities of the disability claim process and can help identify any overlooked evidence or issues.

Conclusion

While a denial on a disability claim does not prevent you from filing again, it does highlight the importance of providing strong, updated evidence and utilizing strategies to strengthen your case. By understanding the impact of a denial and employing proven strategies, you can significantly improve your chances of receiving the benefits you need.