Appplied in Oct 2013, was told that the examiner put an onset date of Aug 2013. Main office called me in to verify my address, dependents and bank information because it looked like I was approved but Quality Review pulled my case. After about 2 more weeks, I was told that my case was not approved. I spoke with my first examiner who said she approved my case and was shocked that it was overturned. I have applied for reconsideration. My question is what is the likelihood it will get approved because if one examiner approved it, is it likely that another one will as well? How does that work? Will the new examiner see that it was initially approved? (Please excuse any spelling errors that I may have made because I'm on my cellphone)
Statistically, very few people are approved at the Reconsideration level. I believe about 10% of people are approved at Reconsideration. It is still possible you can get approved at Reconsideration. Your case will be reviewed and you can submit additional records that support your disability. You may want to consult with a good local attorney to review your records and see why you were denied. If you are denied at Reconsideration, make sure to appeal within the 60 day deadline. Your best chance of getting approved is at the hearing level with a good attorney. Good luck.
Answers and comments provided are for general discussion only. They are not to be considered legal advice nor create an attorney-client relationship.
I agree with the other attorney. About 30% are approved initially but at Reconsideration the numbers are much lower less than 10%. Also, if Quality Review has already denied the case most likely you will be denied at Reconsideration and you are headed for a hearing. I think it is time for you to get an attorney.
This response is meant to be information only and should not be considered to be legal advice. This information is not meant and should not be construed to be the formation of an attorney client relationship. I practice Virginia Workers compensation law and Social Security Disability law.
You have some very useful information, because you know that your case was considered strong enough by at least one SSA analyst to approve it.. and you also know that something about your case triggered Quality Review. It would be helpful to speak with the first examiner and find out why, after Quality Review pulled it, it was denied. Perhaps you lacked some critical medical evidence? Perhaps they would have reviewed if you had adjusted your onset date. If I were you, I would try to get that information. That said, as others have responded, the Reconsideration stage is one at which most people don't win. However, if you find out the reason, you may be able to cure it, such as supplying missing information. I recommend that you hire a good local lawyer to assist you. Good luck!
In my experience, the Recon level is a rubber stamp of the initial determination. You probably will have to wait to prove your case at the third level. For your sake I hope I'm wrong but experience tells me not to get your hopes up at this level
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