Ssd Disapproval

[sgmdae]

Does SSD need a Medical opinion other then your submitted records for a disapproval of a claim

I have research and can't find a answer?

If you have a claim for mental and physical must they send you out for CE before they disapprove you!?

[john999]

SSD can deny your claim just based on your medical evidence and work history. That little survey they give you about what you can and can't do can be used to deny you as well.

[sgmdae]

Thank you for the information. It wasn't what I wanted to hear. I am getting mix signal from SSD, the advice I am getting is confusing. SSD is not follwing their own processing procedure. The person doing my determination is trying find a reason to denie, and seems to be making up his own rules. This is going to make the reconsideration claim easy, but it just another stressful step in the process.

[Pete53]

SSD usually requires an exam by their own Docs.

[sgmdae]

Thanks Pete

Thats is one the answer I was searching for. The SSD site states if your medical/Mental progress notes are less then 90 days, it is their policy to use that information for your claim. You know that my Case is less then 9 months and current with in the 30 days. My last GAF by VA was a 45, with the low on the C&P of 35. I have no idea what their doctor gave me. I am in much better shape through because VA care, then I have been in 40 years. I hope the improvement is not a show stopper for SSD. If in most cases they send a claimant out for A Mental CE, that releases the pressure on me, thinking it was a ploy for them to disapprove my claim. Yes Pete,

I am better but still have problems of over analyzing, and have trouble waiting

[photoman]

Thanks Pete

Thats is one the answer I was searching for. The SSD site states if your medical/Mental progress notes are less then 90 days, it is their policy to use that information for your claim. You know that my Case is less then 9 months and current with in the 30 days. My last GAF by VA was a 45, with the low on the C&P of 35. I have no idea what their doctor gave me. I am in much better shape through because VA care, then I have been in 40 years. I hope the improvement is not a show stopper for SSD. If in most cases they send a claimant out for A Mental CE, that releases the pressure on me, thinking it was a ploy for them to disapprove my claim. Yes Pete,

I am better but still have problems of over analyzing, and have trouble waiting

“Consultative Examinations

“If the evidence provided by the claimant's own medical sources is inadequate to determine if he or she is disabled, additional medical information may be sought by recontacting the treating source for additional information or clarification, or by arranging for a CE." http://www.ssa.gov/disability/professionals

/bluebook/#Medical%20Evidence ://http://www.ssa.gov/disability/profe...cal%20Evidence

Please follow the link and read. In know way is it a show stopper if SSA tells you they don't need you to submit to a CE. If SSA has current data from your providers they would prefer to us that if it meets the "Professionals Bluebook" criteria. Call the disability specialist working you case and ask. I disagree that "mental ce's" are done as a matter of course. This didn't happen to me. Just read it from the horses mouth.

[photoman]

"Consultative Examinations

"If the evidence provided by the claimant's own medical sources is inadequate to determine if he or she is disabled, additional medical information may be sought by recontacting the treating source for additional information or clarification, or by arranging for a CE." http://www.ssa.gov/disability/professionals

/bluebook/#Medical%20Evidence ://http://www.ssa.gov/disability/profe...cal%20Evidence ://http://www.ssa.gov/disability/profe...cal%20Evidence

Please follow the link and read. In know way is it a show stopper if SSA tells you they don't need you to submit to a CE. If SSA has current data from your providers they would prefer to us that if it meets the "Professionals Bluebook" criteria. Call the disability specialist working you case and ask. I disagree that "mental ce's" are done as a matter of course. This didn't happen to me. Just read it from the horses mouth.

They can deny without CE if the evidence you submitted meets their criteria and is current (within 90 days). It makes no difference if the claimant's disability is physical, psychiatric or psycological. 7 out of 10 cases are denied the first time around. If they are not requiring further information and your evidence is compelling this is not necessarily a bad thing. I would be more worried if I had submitted a ton of current and compelling evidence substanting my claim and they called me for a CE.