Why Disability Claims Are Denied

First, understand why your claim may have been denied. Common reasons include:

• Insufficient medical evidence
• Failure to follow prescribed treatment
• Earning too much income
• Incomplete application
• Failure to prove your condition is severe enough to prevent work

Review your denial letter carefully. It will explain the SSA’s reason for rejecting your claim and help you address any weaknesses in your appeal.

Steps to Appeal a Disability Denial in Pennsylvania

Step 1: Request Reconsideration

• Deadline: You must request reconsideration within 60 days of the denial.
• This is a full review of your original application by someone who wasn’t involved in the initial decision.
• You can submit new medical evidence or clarify existing information.

Step 2: Request a Hearing Before an Administrative Law Judge (ALJ)

• If your reconsideration is denied, you can request a hearing before an ALJ.
• The hearing takes place at a local SSA hearing office in Pennsylvania (e.g., in Philadelphia, Pittsburgh, Harrisburg).
• You'll present your case in person or via video, with the opportunity to submit additional documentation and testimony.

Step 3: Appeals Council Review

• If the ALJ denies your claim, you can ask the Appeals Council to review the decision.
• The Council may approve your claim, deny it again, or send it back for another hearing.

Step 4: Federal Court Review

• If all SSA appeals are exhausted, your final option is to file a lawsuit in U.S. District Court.
• At this stage, many people choose to work with an experienced disability attorney.

Tips to Strengthen Your Appeal

• Submit updated medical records showing your condition has not improved or has worsened.
• Ask your doctor for a detailed statement on how your condition affects your ability to work.
• Be honest and consistent about your symptoms, limitations, and daily challenges.
• Respond to SSA requests quickly to avoid delays or dismissals.
• Stay organized: Keep copies of everything you submit and receive.

How Long Does the Disability Appeals Process Take in Pennsylvania?

Appeals can take several months — sometimes over a year, depending on:

• The stage you're at in the appeal process
• The SSA’s backlog in your region
• Whether your case is considered critical or expedited

While it requires patience, persistence often pays off.