Why Disability Claims Get Denied in Wisconsin

The Social Security Administration (SSA) may deny your claim for several common reasons:

• Lack of sufficient medical evidence
• Errors or inconsistencies on the application
• Income or work activity that exceeds eligibility limits
• Failure to follow prescribed medical treatment
• Inability to prove that your condition prevents you from working

Fortunately, a denial doesn’t mean the end of the road.

Steps to Appeal a Disability Denial in Wisconsin

Step 1: Request for Reconsideration

• You must file a Request for Reconsideration within 60 days of receiving your denial letter.
• A different SSA reviewer will reevaluate your claim and any new evidence you provide.
• Most reconsideration requests are also denied, but it’s a required step to move forward.

Step 2: Request a Hearing Before an Administrative Law Judge (ALJ)

• If reconsideration is denied, you can request a hearing before an ALJ.
• This is your best chance to win benefits, especially if you can provide new medical evidence or expert testimony.
• Hearings are typically held in-person at an SSA hearing office or via video.
• The judge will review your testimony, medical records, and other supporting documents.

Step 3: Appeals Council Review

• If the ALJ denies your appeal, you can request a review by the Social Security Appeals Council.
• The Council can uphold the judge’s decision, send it back for a new hearing, or reverse it.

Step 4: Federal Court Review

• As a final option, you can file a lawsuit in federal district court if the Appeals Council denies your request.
• This step involves formal legal procedures and often requires legal representation.
  

Tips for a Successful Disability Appeal in Wisconsin

• Submit New Medical Evidence: Update your records to show the ongoing severity of your condition.
• Get Detailed Statements from Doctors: Treating physicians should describe your limitations and how they impact your daily life and ability to work.
• Be Consistent and Honest: Provide truthful, detailed answers during the appeal and at your hearing.
• Track Deadlines: Missing appeal deadlines can force you to start over.
• Stay Organized: Keep copies of everything you submit to the SSA, including letters, forms, and medical documents.