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Is an SSDI hearing always necessary?

On Behalf of | Jan 11, 2024 | SSDI

When you are navigating Social Security Disability Insurance, the prospect of a hearing can be daunting. However, it is important to understand that not every SSDI case requires a hearing.

The Social Security Administration has a multi-step process in place to assess disability claims. Hearings are just one stage of this process, and this step might not necessarily apply to your case.

Initial application

The SSDI process begins with the initial application. At this step, you will submit your medical and non-medical information. Following this, the SSA reviews the application to determine eligibility. If the SSA denies your initial application, you have the option to request a reconsideration. Even if your reconsideration also meets with denial, it does not automatically mean a hearing is inevitable.

The role of the Administrative Law Judge

If a claim meets with denial at the reconsideration stage, you can request a hearing before an Administrative Law Judge. The ALJ is an independent decision-maker who assesses the case based on the evidence provided. Keep in mind that not all denied claims reach this stage, as some may get approval during the reconsideration process.

Medical evidence

Whether or not a hearing is necessary often hinges on the strength of the medical evidence presented. If you provide comprehensive and convincing medical documentation during the initial application or reconsideration, the SSA may find the case eligible for approval without the need for a hearing.

Understanding the Grid Rules

In certain cases, the SSA uses a set of guidelines known as the Grid Rules to determine disability. These rules take into account your age, education, work experience and residual functional capacity. If your claim aligns with the criteria outlined in the Grid Rules, a hearing may not be necessary.

The Social Security Administration reported that there were 150,268 SSDI hearing-level dispositions in 2021. While it is clearly the case that many SSDI cases go through the hearing process, it is not a strict rule that applies to every case.