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New Mexico Complaint For Judicial Review of Social Security Appeals Council Decision - Improper Legal Standards Applied
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FAQ
Although there is only a 1 in 10 chance that you will win at reconsideration, it is a necessary step in the appeals process and, at the very least, sets the stage for an administrative hearing, where the approval rating increases to roughly 45%.
At the first appeal stage (reconsideration) about 13% of applications were approved. At a court hearing, which is the second and generally last appeal stage, about 54% of claims were approved. However, the odds of approval also varied greatly by state in 2022.
How to Request a Review by the Appeals Council. The request must be made in writing and filed with the Appeals Council within 60 calendar days after receipt of the ALJ's or attorney adjudicator's decision.
The Administrative Law Judge (ALJ) will use the information from your case to make a decision. ALJs can use the expertise of Medical Experts and Vocational Experts to help decide your case. Medical Experts (ME) are doctors who review all of the medical records in your application before the hearing.
If you disagree with the Appeals Council's decision, or if the Appeals Council decides not to review your case, your next step is to file a civil suit in a Federal district court.
The Appeals Council can decide that the judge made a technical error or failed to consider some of your medical evidence. If that happens, the council can remand your case (send it back to the ALJ to reconsider). About 22% of the cases the Appeals Council sees are remanded.
Your Chances of Winning at Your Disability Appeal Hearing Your best chance of winning your claim on appeal is at the hearing stage, the second level of appeal. An average of 50% of claims are approved by the administrative law judge (ALJ) at the hearing stage.
What Is the Most Approved Disability? Arthritis and other musculoskeletal system disabilities make up the most commonly approved conditions for social security disability benefits. This is because arthritis is so common. In the United States, over 58 million people suffer from arthritis.
Learn More: Appealing After A Denial StateInitial Approval RateAlaska60.7%Arizona60.7%Arkansas72.2%California70.0%47 more rows
THE CLAIMANT'S ODDS AT THE APPEALS COUNCIL For example, normally only 2-3% of the cases under review by the Appeals Council are reversed with benefits awarded. Another 14% are sent back to the ALJ for another hearing. The SSA calls this a remand. In the rest of the cases, 83%, are denied review.
