1. Understand the Appeal Deadlines

After receiving your denial notice, you have 60 days from the date on the notice to request an appeal. Missing this deadline will require you to start over with a new application, potentially delaying benefits by months or years.

2. The Four Levels of Appeal

A. Reconsideration

• What It Is: A complete review of your application by a new disability examiner at Utah’s Disability Determination Services (DDS).
• How to File:
• Complete Form SSA-561 (Request for Reconsideration) online at www.ssa.gov or by visiting your local Social Security office
• Submit any new medical evidence or updated records that support your disability claim
• Outcome: About 10-15% of claims are approved at this stage. If denied again, move to the next level.

B. Hearing by an Administrative Law Judge (ALJ)

• What It Is: A formal hearing before an ALJ who will review your case, medical records, and testimony.
• How to Request:
• Submit Form HA-501 (Request for Hearing) within 60 days of your reconsideration denial
• What to Expect:
• You will present your case in person, by video conference, or by phone
• You can bring medical experts or vocational witnesses to support your claim
• Many applicants are approved at this stage, as judges can evaluate credibility and symptoms in more detail

C. Appeals Council Review

• What It Is: If the ALJ denies your claim, you can request a review by the Social Security Appeals Council.
• What They Do:
• The Council may approve, deny, or send your case back to the ALJ for another hearing
• How to File:
• Submit Form HA-520 (Request for Review) within 60 days of the ALJ decision

D. Federal Court Review

• What It Is: If the Appeals Council denies your claim, the final step is filing a lawsuit in U.S. District Court.
• Process:
• You must file within 60 days of the Appeals Council’s denial
• It is highly recommended to have an experienced disability attorney handle your case at this stage

3. How to Strengthen Your SSDI Appeal

• Gather Additional Medical Evidence: Get updated records, doctor’s statements, and functional capacity evaluations explaining how your condition limits your ability to work.
• Follow All Treatments: Continue attending medical appointments and following treatment plans to show you are actively managing your health.
• Provide Detailed Statements: Include personal statements about daily limitations and impacts on work activities. Statements from family members or employers can also help.
• Work With a Disability Attorney: Appeals involve complex legal and medical analysis. An attorney can identify weaknesses in your claim, prepare strong evidence, and represent you effectively at hearings.

4. Why SSDI Claims Get Denied

Understanding the reason for your initial denial is crucial for a successful appeal. Common denial reasons include:

• Lack of sufficient medical evidence
• Earning above the substantial gainful activity (SGA) threshold
• Not following prescribed treatments
• SSA determining you can do other work despite limitations