As a Social Security Disability attorney here in Illinois, I’ve spoken to countless individuals who applied for disability benefits only to be denied, often without understanding why. The process can be frustrating, and for many people, the denial feels like a dead end. But most initial claims are denied not because the applicant isn’t truly disabled, but because of avoidable mistakes, missing documentation, or misunderstanding of the legal requirements. Understanding why claims are denied can help you avoid those same pitfalls and put your case in the best possible position for approval.
Illinois residents applying for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) must meet strict requirements set by the Social Security Administration (SSA), as well as procedural guidelines under both federal and state rules. While there is no separate Illinois statute that controls SSA decisions, the program is governed by federal law, claimants in Illinois still face hurdles related to local medical records access, state agency review, and evidence development through the Illinois Disability Determination Services (DDS), a division of the Illinois Department of Human Services.
The most common reason I see for denied claims is a lack of sufficient medical documentation. The SSA requires medical records that clearly support your diagnosis, symptoms, and limitations. If your records don’t demonstrate how your condition prevents you from working, your claim is likely to be denied under federal regulations like 20 C.F.R. § 404.1520.
In Illinois, DDS reviews your claim using available records. If you haven’t seen your doctor regularly or your records are incomplete, they may assume your condition isn’t serious. I always stress the importance of consistent treatment and detailed documentation from your doctors that explains your inability to maintain substantial gainful activity.
Disability benefits are meant for people who are unable to engage in substantial gainful activity (SGA). In 2025, earning more than $1,550 per month (for non-blind individuals) typically disqualifies you from receiving SSDI. I’ve seen clients denied simply because they attempted part-time work while waiting on a decision. Even if you’re trying to survive financially, working over the limit can signal to SSA that you’re not fully disabled.
If your doctor recommends treatment and you fail to follow it, the SSA may deny your claim under 20 C.F.R. § 404.1530. They interpret non-compliance as a sign that your condition could improve with proper care. That’s why I always review your treatment plan and ensure your records reflect a valid reason for any non-compliance, such as side effects or cost barriers.
Another avoidable mistake is failing to attend consultative exams scheduled by SSA or not responding to requests for information. If SSA can’t evaluate your condition due to your lack of cooperation, your claim may be denied for insufficient evidence. I help my clients track deadlines and make sure all requested documents and appointments are handled promptly.
While you can file a claim on your own, having an experienced disability attorney increases your chances of approval, especially after a denial. I know how to develop your case using Illinois-based medical providers, vocational evidence, and strong legal arguments that support your eligibility under SSA’s five-step evaluation process. Many denials are reversed on appeal when we properly present the case before an administrative law judge.
Initial decisions usually take three to five months, depending on how quickly your medical providers respond and whether additional exams are needed. If your claim is denied and you request a reconsideration or hearing, the process can take a year or more. Having legal help early can reduce delays and improve your chances of a favorable outcome.
In most cases, appealing is better than starting over. If you file a new claim, it resets the process and could forfeit your right to back benefits. I help clients file a timely appeal and correct the issues that led to the original denial. Appeals must be filed within 60 days, so acting quickly is critical.
No. Illinois uses the same federal Social Security Disability Insurance and Supplemental Security Income programs as the rest of the country. However, the claim is processed through the Illinois Disability Determination Services, which works with local doctors and hospitals. That’s why it’s important to have representation familiar with the Illinois system and how local medical records are handled.
Yes. SSA uses a grid of age, education, and work experience to determine disability, and it becomes easier to qualify after age 50. You may be found disabled even if you can do light or sedentary work, depending on your work history. I evaluate each client’s situation based on their vocational profile and medical impairments.
SSA often denies claims by stating that you can adjust to other work. This decision is usually based on hypothetical jobs listed by a vocational expert. I challenge those findings by showing how your specific limitations, such as pain, fatigue, or mental impairments, would make those jobs unrealistic. Medical opinions from your treating providers are critical here.
Yes. At the hearing level, a judge will ask detailed questions about your condition, your past work, and your daily limitations. I prepare my clients ahead of time, gather updated medical records, obtain supportive doctor statements, and cross-examine vocational experts. Your chances of success increase significantly with legal representation.
If your Social Security Disability claim has been denied, don’t give up. You may still qualify for benefits, and we can help you correct the problems that led to your denial. At Harold W. Conick & Associates, I represent clients across Chicago and throughout Illinois who are facing unfair denials or delays in their disability claims.
Contact our Chicago disability attorney at Harold W. Conick & Associates by calling (800) 608-8881 to receive your free case evaluation. We’re here to help you build a strong case and get the benefits you deserve.
