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SSA Claims

The Social Security Act provides qualified or eligible individuals with social security benefits depending on their needs and conditions.

These include the following benefits:

  • Disability benefits under the Social Security Disability Insurance (SSDI)
  • Supplemental Security Income (SSI)
  • Widow/ widower’s benefits
  • Retirement benefits
  • Medicare/ Medicaid benefits

Any claimant may file a claim for disability or other social security benefits but once denied in the initial stage, pursuing it through the different levels of hearings, reconsideration, and appeals make take the skills and knowledge of an experienced representative or a social security and disability lawyer.

Typically, a benefit claim that has been denied at the initial stage may undergo several stages of review, hearing, and reconsideration before it is approved.

Stages of a Claim

  • Review - When a claim is denied in the initial stage, a claimant may ask for a review of the case by requesting for reconsideration. This is an opportunity for a claimant to present additional evidence to support his claim.
  • Reconsideration - A claimant may disagree with the reconsideration decision and may request hearing with the Administrative Law Judge (ALJ). During the hearing, a claimant may present new information and will be asked to present expert witnesses.
  • Final Administrative Review - In the Appeals Council, which is the final administrative review, a claim may either be re-evaluated or denied. If the Council decides to review the claimant’s case, it may either decide on the case or return it to the ALJ for further review.
  • If the Appeals Council decides not to review a case or the claimant disagrees with their decision, the claimant may file a lawsuit with the federal district court.
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