Step-by-Step Guide to Appealing a Disability Denial in Wisconsin

Step 1: Understand the Reason for Denial

Start by carefully reviewing your denial letter. The Social Security Administration (SSA) provides specific reasons why your claim was rejected—this could be due to insufficient medical evidence, work history issues, or failure to meet SSDI criteria. Understanding the reason is key to building a better case during your appeal.

Step 2: File a Request for Reconsideration

The first step in the appeal process is called Reconsideration. You must file this request within 60 days of receiving your denial. During this stage:

• A different SSA reviewer will examine your case.
• You can submit new or updated medical records.
• You don’t need to attend a hearing at this stage.

You can file your appeal online at www.ssa.gov or by contacting your local SSA office.

Step 3: Request a Hearing Before an Administrative Law Judge (ALJ)

If your reconsideration is denied, the next step is to request a hearing:

• You must request the hearing within 60 days of your reconsideration denial.
• The hearing will be conducted by an Administrative Law Judge (ALJ) who wasn’t involved in your original decision.
• You may present new evidence and bring witnesses, including medical or vocational experts.

These hearings are often the most successful stage in the appeal process.

Step 4: Go to the Appeals Council (If Necessary)

If the ALJ denies your claim, you can escalate your appeal to the SSA Appeals Council. The Council may:

• Uphold the ALJ’s decision
• Reverse the decision
• Send it back for another hearing

You must request this review within 60 days of the hearing decision.

Step 5: File a Federal Lawsuit (Final Step)

If all SSA levels of appeal fail, you can take your case to federal court. This is a civil lawsuit filed in a U.S. District Court, and it’s highly recommended that you seek legal help at this stage.

Tips for a Successful Disability Appeal in Wisconsin

• Stay organized: Keep copies of all communications, medical records, and appeal forms.
• Update your medical evidence: Submit new doctor visits, test results, or updated reports showing the progression of your condition.
• Meet all deadlines: Missing any of the 60-day windows could mean starting the process from the beginning.
• Be honest and detailed: The more specific and credible your information, the stronger your case.