Pursuing Social Security Disability (SSD) benefits is a challenging process, particularly in Tennessee, where initial approval rates are notably low. According to recent data, Tennessee's initial application approval rate for SSD benefits was 33.1 percent in 2024, significantly below the national average of 39.5 percent This statistic underscores the difficulties applicants face when seeking these essential benefits.

Several reasons account for the high denial rates of SSD claims:

  • Insufficient medical evidence — A lack of comprehensive medical documentation to substantiate the severity of the disability can lead to denial 

  • Earnings above substantial gainful activity (SGA) threshold — Applicants earning more than the SGA limit ($1620.00/mo. in 2025) may be deemed ineligible 

  • Failure to follow prescribed treatment — Not adhering to medical treatments without a valid reason can result in a claim being denied.

  • Lack of cooperation — Failing to provide necessary information or attend required examinations can adversely affect a claim.

  • Prior denials without new evidence — Submitting a new application without additional supporting evidence after a previous denial may lead to another rejection.

Applicants must follow these steps to challenge a denied claim:

  1. Reconsideration — A complete review of the claim by someone who was not involved in the initial decision. This process involves re-examining all existing evidence, along with any new information provided 

  2. Hearing by an administrative law judge (ALJ) — If reconsideration is unsuccessful, applicants can request a hearing before an ALJ, who will review the case and make an independent decision.

  3. Appeals council review — If the ALJ's decision is unfavorable, a request can be made for the Appeals Council to review the case. The Council usually denies the request, but it may instead choose to return it to an ALJ for further review, or, in the very rarest cases, decide the case itself. 

Navigating the complexities of the SSD application and appeals process can be daunting. An experienced SSD attorney can provide invaluable assistance by:

  • Comprehensive case evaluation — Assessing the merits of the case and advising on the likelihood of approval.

  • Gathering and presenting evidence — Ensuring all necessary medical records and documentation are obtained and effectively presented to support the claim.

  • Meeting deadlines — Managing critical timelines to ensure appeals are filed promptly, preventing procedural denials.

  • Representation at hearings — Advocating on behalf of the applicant during hearings, presenting arguments, and cross-examining witnesses to strengthen the case.

  • Advising on appeals — Guiding applicants through each stage of the appeals process, including whether to pursue further appeals or consider alternative options.

In Tennessee, where initial denial rates are higher than the national average, and in Virginia as well, an experienced Social Security Disability attorney can be of significant help. Their knowledge of the specific requirements and common pitfalls in the state's application process can enhance the chances of a successful outcome.

At Massengill, Caldwell & Coughlin, P.C. in Bristol, we assist Tennessee and Virginia clients in pursuing their SSDI claims from the initial application through the hearing stage. We proudly serve clients in Bristol, Kingsport, Johnson City, Upper East Tennessee and much of Southwest Virginia. Call us at 423-797-6022 or contact us online to schedule a consultation.