Your Medical Evidence And SSDI: What You Need To Know

The lack of medical evidence can have a significant impact on the approval of a Social Security Disability Insurance (SSDI) application. When evaluating an SSDI claim, the Social Security Administration (SSA) relies heavily on medical evidence to assess the severity of the applicant's condition and determine if they meet the eligibility criteria for disability benefits. 

Here's how the lack of medical evidence can affect an SSDI application.

Insufficient Proof of Impairment: To be approved for SSDI, an applicant must provide medical evidence that demonstrates they have a severe impairment that meets the SSA's definition of disability. The lack of medical evidence or insufficient documentation may lead to a denial of the application. Without supporting medical records, it becomes challenging for the SSA to assess the severity and impact of the applicant's condition on their ability to work.

Inability to Establish Medical History: Medical records play a crucial role in establishing a comprehensive medical history. A lack of medical evidence can make it difficult to establish the existence, duration, and progression of the impairment. A well-documented medical history is essential for demonstrating the persistence and severity of the condition, which is necessary for SSDI approval.

Limited Assessment of Functional Limitations: SSDI eligibility is not solely based on a diagnosis or medical condition but also on how the impairment affects the individual's ability to perform work-related activities. The lack of medical evidence can hinder the assessment of functional limitations, such as the ability to stand, walk, lift, or concentrate. Without supporting medical documentation, it becomes challenging to prove the extent to which the impairment restricts the applicant's ability to perform substantial gainful activity (SGA).

Difficulty in Establishing Severity and Duration: The severity and duration of the impairment are key factors in determining SSDI eligibility. The SSA requires medical evidence that demonstrates the impairment is severe enough to prevent substantial gainful activity and is expected to last for at least 12 months or result in death. Insufficient or absent medical evidence may lead to doubts regarding the severity or longevity of the condition, potentially resulting in an application denial.

To increase the chances of SSDI approval, it is crucial to gather and provide comprehensive medical evidence that supports the existence, severity, and functional limitations caused by the impairment. Seeking regular medical treatment, maintaining accurate medical records, obtaining professional opinions, and undergoing appropriate diagnostic tests are important steps to ensure sufficient medical evidence is available to support the SSDI application. For more information, contact an attorney near you.


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