Overcoming Initial Denial
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Background
John D. initially applied for Social Security Disability (SSD) benefits due to chronic back pain and depression, conditions that significantly impaired his ability to work and carry out daily activities. Unfortunately, his initial application was denied, leaving him frustrated and uncertain about his next steps.
The Problems Being Encountered of the Case
John’s initial denial stemmed from a lack of sufficient supporting evidence and documentation in his application. The Social Security Administration (SSA) found that the provided medical records did not fully capture the severity and impact of his conditions, leading to the rejection of his claim. John needed a strategic approach to address the gaps in his initial submission and present a stronger case on appeal.
Our Approach And Solution
Attorney In This Case:
Kevin Higgins
Lawyer, Consultant
Why choose this lawyer: Kevin Higgins is an attorney licensed in Arizona and who works part-time for Desert Disability®, where he helps with new client calls and overseeing our Phoenix office location.
Our Working Process and Solution
Our team undertook a comprehensive review of John’s medical history and records to identify missing or inadequate documentation. Key steps included:
1. Detailed Review
We meticulously examined all existing medical records, treatment histories, and previous evaluations. This helped us identify gaps where additional documentation or clarification was needed.
2. Additional Documentation
We worked with John’s primary care physician and specialists to gather more comprehensive medical evidence. This included obtaining updated medical reports, diagnostic test results, and detailed accounts of John’s ongoing symptoms and limitations.
3. Specialist Evaluation
To provide further substantiation, we arranged for a thorough evaluation by a renowned specialist in chronic pain and mental health. The specialist’s detailed assessment offered fresh insights and reinforced the impact of John’s conditions on his ability to work.
4. Appeal Preparation
Our team meticulously prepared for the appeal hearing, including crafting a detailed narrative that illustrated the debilitating effects of John’s conditions. We ensured that all new evidence was properly integrated into the appeal submission.
The Outcome
With the newly acquired evidence and expert testimony, we submitted a comprehensive appeal on behalf of John. Our thorough preparation and representation at the appeal hearing were pivotal in achieving a favorable outcome. The SSA approved John’s claim, granting him retroactive benefits dating back to his initial application date. Additionally, John began receiving monthly disability payments to support his ongoing needs.
John’s case highlights the importance of thorough documentation and expert evaluation in overcoming initial denials. Our strategic approach ensured that John’s conditions were accurately represented, leading to a successful appeal and continued financial support.