1. Understand Why Your Claim Was Denied

First, carefully read your denial notice (Notice of Disapproved Claim). This document outlines:

• The medical or technical reasons for denial
• Information the Social Security Administration (SSA) used to decide your claim
• Your deadline to appeal (usually 60 days from the date you receive the notice)

Knowing the specific reason for denial will help you address it directly in your appeal.

2. File a Request for Reconsideration

What is Reconsideration?

Reconsideration is the first level of appeal. During this stage, your claim is reviewed by a different disability examiner who was not involved in your initial decision.

How to Request Reconsideration

A. Online

1. Visit www.ssa.gov
2. Log in to your my Social Security account, or create one if you do not have an account
3. Navigate to “Appeal a Decision”
4. Complete the Request for Reconsideration (Form SSA-561)
5. Upload any new medical evidence, treatment records, or doctor statements supporting your disability

B. By Mail or In-Person

1. Complete Form SSA-561 (Request for Reconsideration)
2. Include any updated medical documentation
3. Submit the form to your local SSA office. You can find your nearest office at www.ssa.gov/locator.
4. You can also deliver it in person to ensure it is received before your deadline.

3. Gather Strong Supporting Evidence

To improve your chances of approval at reconsideration:

• Obtain updated medical records from all treating physicians and specialists
• Request detailed statements from your doctors explaining your functional limitations and why you cannot work
• Document worsening symptoms, new diagnoses, or additional treatments since your initial application
• Ensure compliance with treatments, as SSA assesses whether you are following prescribed medical care

4. Attend Consultative Examinations if Required

The SSA may schedule a consultative examination (CE) with one of their doctors if additional medical information is needed. Attend all scheduled exams, as failure to do so may result in another denial.

5. Await the Reconsideration Decision

Processing times for reconsideration decisions in New Mexico typically range from two to four months, depending on:

• The complexity of your condition
• The volume of new evidence submitted
• The need for additional exams or evaluations

6. Prepare for Next Appeal Levels if Needed

If your reconsideration is also denied, you can continue to the next appeal stages:

• Hearing before an Administrative Law Judge (ALJ)
• Appeals Council review
• Federal District Court lawsuit

Each stage has specific deadlines, so staying organized and proactive is critical.

7. Why Are SSDI Claims Commonly Denied?

Common reasons for SSDI denials include:

• Insufficient medical evidence
• Failure to follow prescribed treatment
• Income above Substantial Gainful Activity (SGA) limits
• Lack of communication or missed appointments

Addressing these issues thoroughly in your appeal will strengthen your case.