Why Was Your Disability Claim Denied?

The Social Security Administration (SSA) denies claims for many reasons:

• Lack of sufficient medical evidence
• Failure to follow prescribed treatment
• Not meeting SSA’s definition of disability
• Incomplete or incorrect application
• Earning above the substantial gainful activity (SGA) level

Understanding why your claim was denied is key to preparing a strong appeal.

Steps to Appeal a Disability Denial in Illinois

Step 1: Request a Reconsideration

You have 60 days from the date on your denial letter to request a reconsideration.

• A new SSA reviewer will examine your case.
• Submit any new medical evidence that supports your claim.
• You can file online at ssa.gov or contact your local Social Security office.

Step 2: Request a Hearing Before an Administrative Law Judge (ALJ)

If the reconsideration is denied, the next step is to request a hearing.

• Timing: Must be filed within 60 days of the second denial.
• What Happens: You’ll attend a hearing where a judge will review your case.
• You may present witnesses and submit additional documentation.

Step 3: Appeals Council Review

If the ALJ denies your appeal, you can ask the SSA Appeals Council to review the decision.

• The Council may approve, deny, or send your case back for another hearing.

Step 4: File a Lawsuit in Federal Court

If the Appeals Council denies your request or upholds the ALJ’s decision, your final option is to sue the SSA in federal court.

• This step typically requires the help of an attorney.
• It’s a formal legal process and may take time.

Tips for a Successful Disability Appeal in Illinois

• Submit updated medical records and treatment notes.
• Ask your doctors to provide detailed statements about your condition and limitations.
• Be consistent in your reports and testimony.
• Follow all SSA deadlines closely — missing one can end your claim.