1. Why Was Your Claim Denied?

Before starting your appeal, it’s essential to review your denial notice carefully. Common reasons for denial include:

• Lack of sufficient medical evidence
• Failure to prove your condition prevents substantial gainful activity (SGA)
• Not following prescribed treatments
• Incomplete or inaccurate application forms

Knowing the reason for your denial will help you address weaknesses in your appeal.

2. The Four Levels of Disability Appeals

The SSA provides a structured appeals process:

A. Reconsideration

• Deadline: File within 60 days of receiving your denial
• What Happens: A different disability examiner reviews your entire application, including new medical evidence
• How to File:
• Online: Visit www.ssa.gov and file under “Appeal a Decision”
• By Mail or In Person: Submit Form SSA-561 (Request for Reconsideration) to your local SSA office along with any new evidence

B. Hearing Before an Administrative Law Judge (ALJ)

• If reconsideration is denied, you can request an ALJ hearing within 60 days
• What Happens: You will present your case before a judge. You can testify, bring witnesses, and submit additional medical or vocational evidence
• Preparation Tip: Having a disability attorney at this stage significantly increases your chances of success

C. Appeals Council Review

• If the ALJ denies your claim, you can request an Appeals Council review within 60 days
• The Appeals Council can:
• Deny your request
• Return your case to the ALJ for further review
• Decide your case themselves

D. Federal Court Review

• Final appeal stage if the Appeals Council denies your claim
• You file a lawsuit in federal district court with the help of an attorney experienced in disability litigation

3. How to Strengthen Your Appeal

To increase your chances of approval during appeals:

• Submit updated medical records showing your condition has remained severe or worsened
• Obtain detailed statements from treating physicians, explaining your functional limitations and inability to work
• Comply with all treatments and keep documentation of follow-ups
• Prepare thoroughly for the ALJ hearing, understanding the questions that may be asked about your condition, daily limitations, and work history

4. How Long Does the Appeals Process Take in Arizona?

• Reconsideration: Typically takes 2 to 4 months
• ALJ Hearing: May take 6 to 18 months to schedule, depending on case backlog
• Appeals Council Review: Takes 6 months or longer
• Federal Court: Varies widely based on court schedules

Due to these timelines, filing appeals quickly and correctly is critical to avoid starting over and delaying potential benefits.

5. Should You Get Legal Help for Your Appeal?

While it is possible to appeal without an attorney, statistics show that claimants represented by experienced disability attorneys have higher approval rates, especially during ALJ hearings and beyond. Attorneys can:

• Review your denial reasons
• Gather and organize medical evidence effectively
• Prepare you for hearings and cross-examine vocational experts
• Ensure your appeals are filed accurately and on time