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When Your Medical Evidence for SSA Disability Benefits Is Not Enough

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John L. Keefe
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Applying for Social Security Administration (SSA) disability benefits in Massachusetts can be difficult. Even when you have done your best to provide all the medical evidence you have, it may not be enough for the SSA to approve your claim. At this point, you may get discouraged. But there are still options open to you.

If your medical evidence is not enough, one of the following may be pursued:

  • Your treating source may be contacted and requested to supply more medical information or clarification of the information already provided.
  • A “consultative examination” (CE) may be arranged to get more information.
  • If you are lucky, your treating source will be able to clear up any questions about your medical evidence and the SSA will be satisfied and approve your claim.

But, if this is not possible, then a CE will be ordered. Unless there is a good reason why he or she can’t or won’t, your treating source is the preferred person to complete the consultative examination. But regardless of who does the consultative examination, the medical report should include the following elements:

  • Your major or chief complaint(s).
  • A detailed description of the history of your chief complaint(s).
  • Detailed findings based on the history, examination and any laboratory tests run.
  • The results of any tests that are run. These tests must adhere to the requirements in the SSA “Listing of Impairments.”
  • Both the diagnosis and the prognosis for your impairment(s).
  • A statement describing what you can still do, particularly in relation to the kinds of things you would need to do to work.
  • A statement of the consultant’s opinion, with detailed comment, of your disability.

If you are applying for disability benefits in Massachusetts and have questions about your medical evidence or any other part of the process, contact a New England SSA disability expert. At Keefe Disability Law, we can help. Call us toll free today at 888-904-6847 for a free case consultation.

Category: I Need to Apply

John L. Keefe
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Founding Attorney of Keefe Disability Law

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