Common Reasons Reconsideration Fails

Common Reasons Reconsideration Fails

By SSDI Reconsideration Help Editorial Team | Reviewed for legal context by David McNickel 

Reconsideration has a low approval rate of around 10-15% nationally, but that doesn’t mean every reconsideration failure is inevitable. Many cases are denied at reconsideration for preventable reasons: procedural errors, missing evidence, or strategic mistakes that could have been avoided with better preparation.

If you’re filing for reconsideration, understanding the most common reasons cases fail at this stage helps you avoid the same pitfalls. Even if you don’t expect to be approved at reconsideration, avoiding these mistakes strengthens your record for the hearing stage.

Procedural Errors

Some reconsideration denials have nothing to do with the merits of your case—they’re the result of procedural mistakes that prevent Social Security from fully evaluating your claim.

Failing to File Within the Deadline
This is the most catastrophic procedural error. If you miss the 60-day deadline to file for reconsideration and cannot prove good cause for the delay, your appeal will be dismissed. You’ll have no choice but to file a new application and start over.

Failing to Attend a Consultative Exam
If Social Security schedules you for a consultative examination and you don’t attend, your reconsideration will be denied. Social Security views failure to attend a CE as lack of cooperation, and they will not move forward with your case without it.

Even if you have a legitimate reason for missing the exam—transportation problems, illness, misunderstanding about the date—you must contact Social Security immediately to explain and reschedule. Simply not showing up is a nearly automatic denial.

Failing to Respond to Requests for Information
During reconsideration, Social Security may send you requests for additional information, forms to complete, or authorization for medical records. If you don’t respond to these requests within the time frame specified, your case may be denied for failure to cooperate.

Sometimes applicants miss these requests because they moved and didn’t update their address, or because they didn’t understand what was being asked. Whatever the reason, ignoring Social Security’s correspondence during reconsideration is one of the fastest ways to ensure denial.

Submitting Incomplete or Unsigned Forms
If you submit forms that are missing required information, left partially blank, or not signed, Social Security may reject them or delay your case. While this may not result in immediate denial, it can slow the process and create gaps in your record that weaken your case.

Evidence Errors

The quality and completeness of the evidence you submit is the single most important factor in whether your reconsideration succeeds or fails.

Submitting No New Evidence
This is the most common mistake at reconsideration. Many applicants file for reconsideration but don’t submit any new medical records, updated doctor’s statements, or additional documentation. They assume that having a different examiner review the same evidence will lead to a different outcome.

It almost never does.

If your initial denial was based on insufficient medical evidence, you must provide new evidence that addresses the deficiencies. Without it, the reconsideration examiner will reach the same conclusion as the initial examiner.

Submitting Irrelevant or Outdated Evidence
Some applicants submit medical records, but the records are old (from more than six months ago) or unrelated to the issues that led to the denial. If your initial denial cited a lack of recent treatment, submitting two-year-old records won’t help. If it cited insufficient documentation of functional limitations, submitting records that only list diagnoses without describing how those conditions affect your ability to work won’t move the needle.

The evidence you submit needs to be recent, relevant, and directly responsive to the reasons for the initial denial.

Failing to Document Functional Limitations
Social Security doesn’t just want to know what conditions you have—they want to know how those conditions limit your ability to work. A diagnosis of arthritis, for example, doesn’t automatically qualify you for benefits. What matters is whether the arthritis prevents you from sitting, standing, walking, or using your hands to the extent required for work.

Many medical records focus on diagnosis and treatment but don’t adequately document functional limitations. If your records don’t explain what you can’t do—how far you can walk, how long you can sit, how much you can lift, whether you have trouble concentrating—the examiner may conclude that your condition isn’t disabling.

Relying Only on Subjective Complaints
Social Security gives more weight to objective medical evidence – lab results, imaging studies, clinical findings – than to subjective complaints of pain, fatigue, or other symptoms. While subjective symptoms are important and valid, they need to be supported by objective findings in your medical records.

If your case relies heavily on self-reported symptoms without corresponding objective documentation, it’s less likely to be approved at reconsideration.

Missing Specialist Records
If you’re being treated by specialists for your disabling condition – a rheumatologist for autoimmune disease, a psychiatrist for mental health issues, a neurologist for neurological conditions—those specialist records are often more valuable than records from your primary care doctor. Failing to submit specialist records is a common mistake that weakens your case.

Timing Errors

Timing matters in disability cases, and certain timing-related mistakes lead to reconsideration denials.

Waiting Too Long to File
If you file your reconsideration request close to the 60-day deadline and then take additional weeks or months to submit your medical evidence, the examiner may issue a decision based on what’s already in the file. While you can submit evidence after filing the reconsideration request, significant delays can work against you.

Failing to Update Records
If your medical treatment is ongoing but you don’t submit updated records, the examiner may conclude that your condition has improved or stabilized. Social Security wants to see evidence of continuing disability, which means your records should be as recent as possible—ideally from within the last three to six months.

Not Documenting Progression of Your Condition
If your condition has worsened since the initial application, that’s important evidence to include. But many applicants fail to document the progression. They submit a few new records without explaining how their condition has deteriorated or how their limitations have increased.

A simple written statement explaining the timeline – how your condition has changed, what new symptoms have developed, how your limitations have worsened – can provide valuable context that the examiner might otherwise miss.

Why This Happens

Reconsideration failures often stem from a combination of factors: lack of understanding about what’s required, difficulty obtaining medical records, overwhelm from managing a disabling condition while navigating a complex bureaucratic process, and unrealistic expectations about what reconsideration involves.

Many applicants underestimate how much evidence is needed or assume that Social Security will figure out the severity of their condition without detailed documentation. Others face practical barriers to obtaining records—doctors who don’t respond to requests, lack of health insurance, or difficulty articulating their limitations to medical providers.

Still others are simply worn down by the process. After an initial denial, it’s hard to muster the energy to gather evidence, complete forms, and engage with Social Security yet again. But without that effort, reconsideration becomes a formality rather than a genuine opportunity.

Mistakes to Avoid

As you prepare for reconsideration, keep these principles in mind:

Don’t File Without a Plan
Before you submit your reconsideration request, have a clear understanding of what evidence you need and how you’ll obtain it. Don’t file blindly and hope for the best.

Don’t Submit the Same Evidence and Expect a Different Result
If the initial denial cited insufficient medical evidence, you need to provide new, stronger evidence. If it cited a lack of functional documentation, your new evidence needs to address that specific gap.

Don’t Ignore Procedural Requirements
Attend all scheduled exams. Respond to all requests for information. Meet all deadlines. Procedural mistakes can sink an otherwise strong case.

Don’t Overlook the Details
Make sure your forms are complete, your evidence is organized, and your documentation is clear. Small errors can create bigger problems.

Don’t Assume Your Doctors Know What to Document
Most doctors focus on treating patients, not on disability claims. If your medical records don’t adequately document your functional limitations, ask your doctors if they can provide a more detailed statement or complete a residual functional capacity form.

Deadlines and Next Steps

If you’re preparing for reconsideration, start by identifying the specific reasons your initial claim was denied. Then, create a plan for obtaining evidence that directly addresses those reasons:

  • If the denial cited insufficient medical evidence, gather updated records that include recent treatment notes, test results, and clinical findings.
  • If the denial cited a lack of functional limitations, request detailed statements from your doctors describing what activities you can and cannot perform.
  • If the denial was procedural or technical, correct the errors and provide any missing documentation.

File your reconsideration request within the 60-day deadline, then follow through with submitting the strongest evidence you can gather.

Moving Forward

Reconsideration fails most often when applicants repeat the same mistakes that led to the initial denial. By understanding the common pitfalls—procedural errors, missing evidence, timing mistakes—you can avoid them and give your case the best possible chance of success.

Even if you don’t expect to be approved at reconsideration, avoiding these mistakes ensures that your record is as strong as possible when your case moves to the hearing stage.

This page provides general informational content only and is not affiliated with the Social Security Administration (SSA) or any government agency.