What to Know About a Disability Claims Review Process

After suffering from a debilitating injury you may feel overwhelmed with questions and doubts about what your future holds. You may feel even more overwhelmed when you unexpectedly receive a letter in the mail telling you that your medical condition is being “reviewed” by the Social Security Administration. “What does this mean?” And “How will this affect me and my family?”

You are not the only one who has received this letter, and you are probably not the only one with questions about its implications. The Social Security Administration is required by law to review the medical conditions of all people receiving disability benefits from time to time.

The review process has several components, and begins with the Social Security Administration gathering information about your medical condition. They will ask your doctors, hospitals, and other medical sources for your medical records in order to consider how your medical condition limits your activities and your ability to work. They will compare their findings with how your medical condition was when they last reviewed your case, and take any new health problems that may have arisen into consideration.

Based on what they observe and gather, they will make a decision about whether or not your medical condition has improved and whether or not it has improved enough for you to work.

According to the Social Security Administration’s website, your benefits have the potential to stop in any of the following situations:

  • They believe they made a mistake in an earlier decision to give you or continue your disability benefits.
  • You are not following the treatment your doctor ordered, and they believe you could work if you followed the treatment.
  • They believe you gave them false or misleading information regarding your claim.
  • You are not cooperating with them, and you do not have a good reason for not cooperating.
  • You are working and your average monthly earnings show that you are doing substantial gainful work.

If the Social Security Administration does decide that your disability benefits will stop, and you disagree with their findings, you have the right to appeal the decision and request that they take another look at your case.

It is important to remember that a Social Security Disability claims denial does not necessarily mean that you cannot continue to receive disability benefits. Each situation is different, and you may be entitled to the benefits for which you have been denied.