Principles of Disability Evaluation

The Social Security Disability program (SSD) provides disability benefits to individuals with medical conditions that prevent gainful employment. To qualify for SSD, you must have previously been employed and made contributions to Social Security. The specific work requirements depend on your age, length of employment and how recently you were employed. The process of evaluation to determine if you qualify for disability status involves several steps.

Application

• The first step of the SSD evaluation process is submitting a detailed application describing your current functional limitations that prevent you from working, along with information about the treatment you have received for your condition. Medical documentation is required from all health-care professionals involved in your care.

Determination

• Medical records are reviewed by the Social Security Administration. If a determination cannot be made based on the documentation provided, an independent medical opinion will be required through a consultative evaluation. This evaluation is arranged and funded by the Social Security Administration.

Appeals

• An appeal may be filed if your disability application is rejected. The appeals process begins with a reconsideration, or review, by another person not involved in the original determination process. If your reconsideration results in rejection, you can file for a hearing before a judge. The next step for appealing a rejection upheld in court is a review by the Appeals Council, which has the authority to make a decision regarding your claim. Finally, you can file a lawsuit in federal court if you do not agree with the outcome determined by the Appeals Council.