Why SSDI Claims Get Denied

Before filing your appeal, it’s important to know why your initial claim was denied. Common reasons include:

• Lack of sufficient medical evidence proving disability
• Earning income above the Substantial Gainful Activity (SGA) limit
• Failure to follow prescribed medical treatment
• Incomplete or inaccurate application information
• SSA’s determination that you can still perform some type of work

Reviewing your denial letter carefully will help you identify the exact reason and address it during your appeal.

The SSDI Appeals Process in Tennessee

Tennessee follows the same multi-step SSA appeals process as other states. You have 60 days from the date you receive your denial notice to file an appeal. Here’s how each stage works:

1. Reconsideration

At this stage, a new examiner—someone who was not involved in the initial decision—reviews your entire file, including any additional evidence you submit.
You should use this opportunity to provide updated medical records, new diagnoses, or doctor’s statements that support your claim.

Average processing time: 3 to 5 months.

If your claim is denied again, you can move on to the next step.

2. Hearing Before an Administrative Law Judge (ALJ)

If reconsideration is denied, you can request a hearing before an Administrative Law Judge. This is often the most critical stage of the process.

During the hearing:

• You’ll testify about your medical condition, symptoms, and work limitations.
• The judge may ask questions about your employment history and daily activities.
• Medical or vocational experts may be called to give opinions.

You may submit additional medical documentation before the hearing. Most applicants who win SSDI benefits do so at this stage—especially if represented by an experienced disability attorney.

Average wait time for a hearing in Tennessee: 8 to 14 months.

3. Appeals Council Review

If the ALJ denies your claim, you can request a review by the SSA Appeals Council. The council can either uphold the ALJ’s decision, reverse it, or send it back for another hearing.

Processing time: Typically 6 months to over a year.

4. Federal Court Review

If all SSA appeals are denied, the final option is to file a lawsuit in U.S. District Court. At this level, a federal judge reviews your case for any legal or procedural errors made by the SSA.

Tips for a Successful SSDI Appeal in Tennessee

To strengthen your appeal and improve your chances of approval, follow these best practices:

• File your appeal on time. You have only 60 days from your denial notice.
• Submit new medical evidence. This can include recent test results or updated doctor reports.
• Be detailed and consistent. Ensure your statements about your symptoms and limitations match your medical records.
• Work with an SSDI attorney. An experienced Tennessee disability lawyer can prepare you for the hearing, question witnesses, and ensure all evidence is presented effectively.