The Necessity of Medical Records for Social Security

In the Social Security Disability process medical support of a claim is paramount. Barring medical records documenting a claimant’s condition, there is no hope of success. Unfortunately, one cannot walk into a hearing before an administrative law judge claiming to suffer from maladies and expect success absent doctors’ notes. While it is common for state disability determination agencies to ask claimants to attend one-time examinations by doctors employed by the agency for that purpose, doctors who regularly treat the conditions of a given claimant can provide the most helpful information.

In the disability adjudication process, state agencies and Social Security Disability attorneys gather medical evidence from claimant’s health care providers. Unfortunately, these records gatherers are only able to gather the evidence they know exists. It is the responsibility of the claimant to inform necessary parties of this information. Further, the sooner records-gatherers are informed of the evidence, the sooner it can be submitted and evaluated by disability adjudicators.

In fact, it is more important than ever that disability claimants notify their attorneys of new medical evidence quickly, whether a new appointment, scan, or treating source. This is due to a new rule the Social Security Administration has put into effect requiring evidence be submitted within five business days of a disability hearing, absent good cause. Without delving into specifics (if claimants have questions about this, it is strongly advised they speak with counsel), the sooner a claimant advises attorneys of the records source, the sooner the records may be requested after a hearing has been scheduled. That way, both the attorneys presenting the case on behalf of the claimant as well as the administrative law judge hearing the case can better evaluate the claim.

Medical records, more than anything else, make or break a Social Security Disability claim. Providing documentation of ample treatment gives adjudicators a more complete picture of a claimant’s health, increasing the chances of success.


By Adam Kachelski

Written by Jennifer Mrozik

Jennifer is a partner in the firm and practices exclusively in the area of Social Security disability law. She continues to lead efforts to find solutions for clients in the sometimes difficult Social Security claims process.

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