Applying for Social Security Disability Insurance (SSDI) can be a challenging and overwhelming process. A crucial component of a successful SSDI claim is providing comprehensive, consistent, and reliable medical evidence. This evidence is used by the Social Security Administration (SSA) to determine if your condition meets the strict definition of disability.
Understanding the SSA’s Definition of Disability
To qualify for SSDI, your medical condition must meet the Social Security Administration’s (SSA) definition of disability as outlined in 20 Code of Federal Regulations (CFR) § 404.1505. In particular, the SSA requires that your condition:
- Is severe enough to significantly interfere with your ability to perform basic work-related tasks;
- Has lasted or is expected to last for at least 12 months, or will result in death;
- Prevents you from engaging in any substantial gainful employment (SGA).
Without strong medical evidence to support these criteria, your application will likely be rejected, even if you genuinely cannot work.
The Role of Medical Evidence in Your SSDI Claim
Medical evidence is the basis of your SSDI application. According to the Social Security Administration’s Program Operations Manual System, decision makers rely heavily on objective medical records to assess the severity and duration of your disability.
The SSA prefers evidence from “acceptable medical sources,” which includes licensed physicians, psychologists, and other qualified providers, as outlined in 20 CFR §404.1513. This includes:
- Diagnostic test results (e.g., MRIs, X-rays, blood panels);
- Treatment notes and progress reports;
- Hospitalization records;
- Medication lists and responses to treatment; and
- Statements from your treating physicians regarding your functional limitations.
It is essential that your medical records accurately reflect your ongoing treatment. If there are gaps in your records, the SSA may assume that your condition is not as serious as you claim.
Why Treating Physician Opinions Matter
One of the most significant pieces of evidence you can provide is a residual functional capacity (RFC) evaluation completed by your healthcare provider. The Social Security Administration gives considerable weight to opinions from healthcare professionals when they are well-supported by medically accepted clinical and laboratory diagnostic methods, as stated in 20 CFR §404.1527(c)(2).
An RFC form details your physical and mental limitations, such as how long you can sit, stand, lift or concentrate, and directly informs whether you are able to do past work or adapt to other employment. If your doctor confirms that you cannot work full time due to your condition, this greatly increases your chances of approval.
Common Mistakes That Weaken SSDI Applications
Even with a legitimate disability, applicants often undermine their cases by:
- Submitting incomplete or outdated medical records;
- Failing to follow prescribed treatment plans;
- Not reporting all symptoms or conditions to providers; or
- Relying solely on self-reported symptoms without objective medical support.
Remember: the SSA doesn’t base decisions on your pain alone. They need proof that your pain or other symptoms functionally limit your ability to work.
How a Milwaukee SSDI Lawyer Can Help
Most initial SSDI applications are denied, often due to insufficient medical evidence. At Tabak Law, our experienced SSDI attorneys know exactly what medical documentation the Social Security Administration (SSA) requires. We assist clients:
- Gather and organize comprehensive medical records;
- Obtain RFC assessments from treating physicians;
- Fill treatment gaps where possible; and
- Present evidence strategically at the hearing level if your claim is denied.
If your medical condition prevents you from working, do not leave your Social Security Disability Insurance (SSDI) claim to chance. With strong medical evidence presented correctly, you can make the difference between a denial and an approval.Contact Tabak Law for a free consultation today and take the next step towards securing the disability benefits you deserve.