Why Disability Claims Are Denied in Texas

The SSA might deny your application for reasons such as:

• Insufficient medical evidence
• Incomplete paperwork or missing documents
• Failure to follow treatment plans
• Earning too much income
• Medical condition not considered severe enough

A denial does not mean you're not eligible—only that the SSA didn’t find enough proof. That’s where the appeal process comes in.

Step 1: File a Request for Reconsideration

You have 60 days from the date of your denial notice to request a reconsideration. This is a complete review of your case by someone who did not participate in the first decision. You can file:

• Online at SSA.gov
• By mail or in person at your local SSA office

Make sure to submit any new medical evidence or missing documentation during this phase.

Step 2: Request a Disability Hearing

If your reconsideration is denied, the next step is to request a hearing before an Administrative Law Judge (ALJ). You can again do this online or through your local SSA office. Here’s what to expect:

• The judge will review your full file.
• You (and any witnesses or experts) can testify.
• You can submit updated medical records.
• The judge may ask questions about your condition and work history.

Preparation is critical at this stage to increase your chances of success.

Step 3: Appeals Council Review

If the ALJ denies your claim, you can request a review by the Appeals Council. The Council may:

• Approve your claim
• Return it to the judge for another hearing
• Deny your appeal

This level takes longer and often requires a well-documented legal argument.

Step 4: Federal Court Lawsuit

As a final option, you may file a lawsuit in federal district court. This step involves complex legal procedures, and having professional representation is highly recommended.