Medical Evidence In SSDI Cases

What type of evidence is required in an application for Social Security Disability Insurance?

Social Security Disability Insurance is a government benefit provided to those who are disabled according to the Social Security Administration’s (SSA’s) definition. The SSA defines a disability as a physical or mental impairment that prevents a person from engaging in any substantial gainful activity and that has lasted, or is expected to last, for 12 months or more and/or result in death. In order for an applicant to prove that he or she suffers from a disability, he or she must provide the SSA with various types of medical evidence.

What are the various types of medical evidence?

Evidence must come from acceptable medical sources such as licensed physicians, licensed psychologists and qualified speech pathologists. The SSA prefers medical evidence from treating sources, that is, evidence from medical professionals involved in the applicant’s care. These professionals are usually able to provide the most detailed information about the applicant’s condition.

The SSA is also interested in evidence from medical facilities such as clinics, hospitals and other institutions. The Administration may also require medical reports. These are expected to include various types of information, such as: the applicant’s medical history, examination and lab results, diagnosis, prognosis, prescribed treatment and information about what work functions the applicant remains capable of performing. If the medical evidence submitted is not sufficient, the SSA will request a consultative examination in order to ascertain additional information. Also, evidence relating to the patient’s symptoms, such as the type, frequency, duration and treatment, will also be relevant and should be submitted.

In order to apply for SSDI, you must fill out your application as completely as possible. A high number of claims are denied every year due to incomplete and insufficient applications. A qualified attorney can assist you in the application process and increase your chances of an initial approval.