The Evaluation Process of Disability Claims

Before a person can receive disability benefits under Social Security, he must first apply for it and be accepted. However, applying is easier said than done. Aside from the requirements that may seem confusing to some, the long process and the wait may render a claimant impatient.
After submitting every document and proof needed to apply for any of the Social Security disability program, it will go through an evaluation process. Social Security Administration field offices and State agencies process all initial claims.
1. Social Security representatives in field offices obtain applications and non-medical requirements (e.g. employment period, age, monthly income) for the benefit programs.
2. It will be sent to the State agency or Disability Determination Services (DDS) for evaluation if the requirements were met. They are responsible for developing medical evidence. Also, they render initial determination regarding the disability claim with the help of a physician, psychologist, and other disability specialists. They may request for additional information and documents before determining whether or not a claimant is disabled under the law.
3. A consultative examination will follow if the information provided is inadequate for the disability to be properly evaluated. The claimant’s personal physician, if permitted by the DDS, or a different doctor will perform the procedure.
4. The DDS will then evaluate the medical condition and the non-medical eligibility requirements. They will consider the disabling diagnosis, severity, period of disability, and the limitation of activities which are mostly work-related (e.g. ability to walk, stand, sit, bend, kneel, lift, use hands, and remember instructions). Other disabling factors and the effect of medications taken are also evaluated.
5. Expect the decision to come in writing after six or more months. However, do not expect that the claim will be approved right away. Most initial applications for disability claims are denied.
6. If the claimant was found not disabled, the file is kept in the field office in case the claimant decides to appeal. The letter will explain as to why the application was rejected. However, if the application is approved, the SSA will complete any outstanding non-disability development and inform the claimant about the benefits amount and when it will start.
For claimants and medical practitioners who want to read more information about disability claims evaluation, the SSA has the “Blue Book” of information that focuses on the disability programs of the agency. A listing of impairments is also included on the book.