By Chris Sharry on April 30th, 2025 in Disability, Disability Applying
Applying for Social Security Disability Insurance (SSDI) benefits can be a lengthy and frustrating experience, especially when your initial application is denied. Unfortunately, the majority of first-time SSDI applications are rejected by the Social Security Administration (SSA). However, a denial does not mean the end of the road. Applicants in Massachusetts have the right to appeal—and understanding the SSDI appeals process is critical to improving your chances of a successful outcome.
Why SSDI Claims Are Denied
SSDI applications are often denied due to insufficient medical evidence, failure to follow treatment plans, earning above the substantial gainful activity (SGA) threshold, or technical errors on the application. Many denials stem from simple misunderstandings or missing documentation rather than a true lack of eligibility. For this reason, appealing a denied claim—rather than restarting the process—is often the best course of action.
The Four Levels of SSDI Appeals
The Social Security disability appeals process includes four main levels. Each stage provides an opportunity to present new evidence, correct errors, or clarify your condition. In Massachusetts, the appeals process typically begins with a request for reconsideration and may progress to a hearing before an administrative law judge.
- Reconsideration
The first step after receiving a denial is to file a Request for Reconsideration. This must be done within 60 days of the denial letter. During reconsideration, a new SSA claims examiner who was not involved in the initial decision will review your file. You may submit updated medical records or additional evidence supporting your disability. Unfortunately, reconsideration approvals are relatively rare, but it is a necessary step before advancing to a hearing. - Administrative Law Judge (ALJ) Hearing
If reconsideration is unsuccessful, you can request a hearing before an Administrative Law Judge. This is often considered the most critical stage of the SSDI appeals process. At the hearing, which is typically held at one of Massachusetts’ Office of Hearings Operations (OHO) locations or via video conference, you or your attorney will present your case directly to the judge. Medical experts and vocational experts may be called to testify. The judge will assess your testimony, review your medical evidence, and issue a written decision. ALJ hearings offer the best opportunity for success in the appeals process. - Appeals Council Review
If the judge denies your claim, the next step is to request a review by the Appeals Council. The Council may decide to affirm the ALJ’s decision, reverse it, or send it back for another hearing. This level focuses primarily on whether legal or procedural errors occurred in the hearing, rather than reevaluating your medical condition. - Federal Court Review
If all administrative appeals are denied, you have the option to file a lawsuit in federal district court. At this stage, a federal judge will review the SSA’s decision for errors of law or abuse of discretion. While federal court cases are complex and less common, they remain a final option for those with strong claims that were improperly denied.
The Importance of Legal Representation
The SSDI appeals process is legally technical and evidence-driven. Working with an experienced Social Security disability attorney can significantly improve your chances of success at every stage. A knowledgeable lawyer can help gather compelling medical evidence, prepare you for testimony, cross-examine vocational experts, and ensure deadlines are met. Representation becomes especially important at the ALJ hearing and beyond, where procedural missteps can jeopardize your case.
What You Can Do While Waiting
Appeals can take months or even over a year, depending on the level and the backlog in your region. In the meantime, it is important to continue your medical treatment, document your symptoms, and keep your attorney informed of any changes in your condition or work status. Staying actively involved in your case can strengthen your appeal and demonstrate your ongoing disability.
Get Help Navigating the SSDI Appeals Process
If your Social Security disability application has been denied, don’t give up. With the right legal guidance, many applicants succeed in obtaining benefits through the appeals process. Attorney Christopher Sharry has helped countless individuals across Massachusetts fight for the SSDI benefits they deserve. Contact Sharry & Monfette today to schedule a consultation and take the next step toward securing the support you need.
