Step 1: Understand Why Your Claim Was Denied

You’ll receive a denial letter explaining the reasons. Common reasons include:

• Insufficient medical evidence
• Not meeting the Social Security Administration’s (SSA) definition of disability
• Earning more than the Substantial Gainful Activity (SGA) limit
• Failing to follow up with medical treatments or appointments

Read the letter carefully to understand what needs to be addressed in your appeal.

Step 2: File a Reconsideration Request

You have 60 days from the date on your denial letter to file an appeal. The first stage is called Reconsideration. This involves:

• A new claims examiner reviewing your case
• Submission of updated medical records or additional evidence
• A second decision based on the revised information

In Washington, you can submit this request online at ssa.gov or by contacting your local SSA office.

Step 3: Request a Disability Hearing

If Reconsideration is denied, the next step is to request a hearing before an Administrative Law Judge (ALJ). This is often your best chance of winning your claim. Here’s what to expect:

• You’ll present your case in person or via video
• You can bring medical records, witnesses, or expert testimony
• The judge may question you directly about your condition and work limitations

Be prepared to clearly explain how your disability impacts your daily life and ability to work.

Step 4: Continue the Appeals Process if Necessary

If the ALJ denies your claim:

• You can request a review by the Appeals Council
• If that fails, your last option is to file a lawsuit in Federal District Court

Each level gives you another opportunity to present new evidence or point out errors in previous decisions.

Stay Organized and Don’t Miss Deadlines

Throughout the appeals process:

• Keep copies of all communications
• Respond to requests from SSA promptly
• Make sure all medical records are up to date
• Meet all appeal deadlines (typically 60 days at each level)