Why SSDI Claims Get Denied in Arizona

Before starting an appeal, it’s important to know why claims are commonly denied:

• Insufficient medical evidence supporting your disability.
• Incomplete application or missing documentation.
• Earnings above the Substantial Gainful Activity (SGA) limit.
• Disability not meeting SSA’s medical criteria.

Knowing the reason for your denial will help you target your appeal effectively.

Step 1: Request for Reconsideration

Deadline: You have 60 days from the date of your denial notice to file.

What Happens:

• A new SSA examiner reviews your claim.
• You can submit additional medical evidence or documentation.
• No in-person hearing at this stage; it’s a paper review.

Tips for Success:

• Provide updated doctor’s reports.
• Include details about treatments, limitations, and new diagnoses.

Step 2: Administrative Law Judge (ALJ) Hearing

If your reconsideration is denied, the next step is requesting a hearing.

What to Expect:

• Held before an Administrative Law Judge in person, via video, or by phone.
• You and your representative can present evidence, bring witnesses, and testify about your condition.
• A vocational expert may testify about whether you can perform work.

Arizona ALJ Locations:

• Phoenix Office of Hearings Operations (OHO)
• Tucson Office of Hearings Operations (OHO)

Step 3: Appeals Council Review

If the ALJ denies your claim, you can ask the Appeals Council to review the decision.

What They Do:

• Look for errors in how the law or facts were applied.
• May uphold, reverse, or send your case back to the ALJ.

Step 4: Federal Court Review

As a last resort, you can file a lawsuit in U.S. District Court. This is a formal legal process requiring strong legal representation and a solid case.

Key Arizona-Specific Tips for SSDI Appeals

• Gather Strong Medical Evidence – Arizona disability determinations weigh heavily on consistent doctor’s documentation.
• Meet Deadlines – Missing the 60-day filing period at any stage can result in losing your right to appeal.
• Consider Representation Early – A disability attorney can help build a stronger case from the start.
• Prepare for Wait Times – Arizona ALJ hearings can take several months to schedule, so file promptly.