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You must enable session cookies in your browser to use this service.To enable "session cookies," please refer to your browser's help instructions. When you are finished, please select the following link to continue where you left off. Return to the appeal TN 3 (03-22) CITATIONS: Social Security Act – Section 205(b)(2); A. IntroductionReconsideration is the first step in the appeals process for a claimant who is dissatisfied with the initial determination on his or her claim, or for individuals (e.g. auxiliary claimants) who show that their rights are adversely affected by the initial determination. A reconsideration involves a thorough, independent review of all evidence from the initial determination and any new evidence the claimant or another individual submits in connection with the request for reconsideration. A reconsideration determination is made by:
NOTE: The examiner and consultant must be different from the reviewers who made the initial determination. B. Process for requesting reconsideration1. Time period for filing a reconsideration requestA request for reconsideration must be filed within 60 days after the date the claimant receives notice of the initial determination. For the Disability Determination Services (DDS) responsibilities in cases with a late filed request for reconsideration, see (DI 27010.001)—Appeal Filing Issues. 2. Who may file the reconsideration requestThe claimant or his or her representative may file a request for reconsideration. For additional instructions on who may file a request for reconsideration, see (GN 03102.100C.1.)—The Reconsideration Process. 3. What constitutes a reconsideration requestA request for reconsideration can be expressed or implied; however, it must be in writing. A writing, for these purposes, is any documentation, e.g., a letter, facsimile, or submission of additional evidence, which clearly implies disagreement with the initial determination. 4. How to request reconsiderationA claimant or the claimant’s representative may request reconsideration by:
A request for reconsideration may be filed at any Social Security Administration (SSA) office. For additional information on certain other offices where an appeal request may be filed, see (GN 03102.100C.7)—The Reconsideration Process. 5. What is not a reconsideration requestContacting the 800 number or field office (FO) by telephone to inquire about the process, or to request forms, is not a reconsideration request. C. Implied request for reconsiderationAn implied request for reconsideration is any writing or timely submission of additional evidence by a claimant or his or her representative which indicates disagreement with the initial determination. For further instructions see (DI 81020.025B) — Processing Electronic Reconsideration Cases. D. Claimant’s rights during the reconsideration processThe reconsideration process provides the claimant:
E. DDS reconsideration processing actions1. Affirmation of prior determinationAn initial determination may be affirmed as written if all of the following conditions are met:
For instructions, see DI 24501.006 and DI24510.066B. NOTE: These bulleted conditions do not apply for DI 24510.066B. Adoption of Initial Level RFC Assessment or Adopting the initial level RFC or PRTF does not require affirming the initial determination as written. 2. Case development at reconsiderationOnce a reconsideration case on an initial claim has been received from the FO, the disability examiner is responsible for reviewing the case to determine if additional development is warranted. If further case development is warranted, the disability examiner:
NOTE: Disability examiners must follow up with sources that were contacted, but did not submit MER, at the initial level. For further instructions see:
3. Reconsideration of initial continuing disability review (CDR) determination or adverse reopeningFor development and documentation instructions see:
How do you win a disability reconsideration?7 Tips for How to Win a Disability Reconsideration Appeal. File a Timely Appeal. ... . Submit the Right Paperwork. ... . Draft an Effective Appeals Letter. ... . Provide Additional Medical Evidence. ... . Be Honest and Transparent. ... . Get a Written Opinion From Your Doctor. ... . Hire a Reliable Attorney.. What percentage of SSDI is reconsideration approved?If the claims examiners find that you should have been approved, that your denial was mistaken or inappropriate, you will be awarded your benefits. However, this is rare – only 12% to 15% of applications are approved at Reconsideration. Most likely, your application will be denied again.
How long does SSDI request for reconsideration take?A reconsideration appeal can usually be decided in as little as four weeks or as long as twelve weeks; whereas an application for disability can take as long as six months (usually, if it takes this long it is due to difficulties in procuring medical records from various doctors and other medical providers).
How long does request for reconsideration take?The reconsideration process for disability claims takes about four to six months from start to finish. After you file your request for reconsideration, the file is sent to a different person at Disability Determination Services.
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