Why Are So Many SSD Claims Denied on the First Try?

On This Page

1. Incomplete or Inaccurate Application
2. Lack of Sufficient Medical Evidence
3. The Condition Is Not Considered Severe Enough
4. Previous Denials
5. Failure to Follow Prescribed Treatment
6. How Legal Representation Can Help

REVIEWED BY

C. William Kenny

April 04, 2025

Board certified by National Board of Trial Advocacy

Applying for Social Security Disability Insurance (SSDI) can be an overwhelming and time-consuming process. Many applicants feel discouraged when they receive a denial letter after their first submission. In fact, approximately 60 to 70 percent of initial SSDI claims are denied. Understanding why these denials occur can help you avoid common mistakes and strengthen your case for approval.

Incomplete or Inaccurate Application

One of the most common reasons SSDI claims are denied is because the application was incomplete or contained inaccurate information. The Social Security Administration (SSA) requires detailed documentation, including medical records, work history and personal information. If any part of the application is missing or filled out incorrectly, the claim may be rejected without further review.

This is why attention to detail is crucial. It is important to provide complete and truthful information throughout the application process.

Lack of Sufficient Medical Evidence

The SSA needs solid medical documentation to confirm that you are disabled and unable to work. If your medical records do not clearly demonstrate the severity of your condition or fail to show how it limits your ability to perform work-related tasks, your claim may be denied.

You must prove your disability through detailed medical reports, test results, treatment histories and statements from healthcare providers. Many applicants are denied simply because their doctors did not provide adequate documentation, even if the condition is severe.

The Condition Is Not Considered Severe Enough

In order to qualify for SSDI, your condition must be severe enough to prevent you from engaging in substantial gainful activity (SGA) for at least 12 months. If the SSA believes your condition will improve within a shorter time frame, or if they believe you are still capable of performing some type of work, your application may be denied.

Previous Denials

Some applicants submit a new SSDI application instead of appealing a previous denial. This is often a mistake. Filing a new claim rather than going through the appeals process can result in the same outcome. The SSA may view your new application under the same standards and deny it again, especially if nothing has changed in your medical condition or supporting evidence.

Failure to Follow Prescribed Treatment

If you do not follow the treatment plan recommended by your doctor, the SSA may deny your claim. They may assume that your condition could improve with proper care, and therefore, does not meet the severity requirements.

How Legal Representation Can Help

An experienced Social Security Disability attorney can significantly improve your chances of success. A lawyer understands the application and appeals processes, knows what the SSA is looking for and can help gather the necessary documentation to present a strong case.

Getting Help with Your Disability Benefits

Receiving a denial letter can be discouraging, but it is not the end of the road. By understanding the reasons why so many SSDI claims are denied on the first try, you can take steps to strengthen your application and increase your chances of receiving the benefits you need. Legal guidance can make a meaningful difference in the outcome of your case. Contact the lawyers of Berger and Green for a free consultation.