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I'm so confused and frustrated right now! My husband got both approval AND denial letters from EDD SDI on the same day last week. One letter includes his customer account number and shows a weekly benefit amount of $1,275, but the second letter says he's denied because the mental health facility he's at 'isn't properly licensed.' This makes no sense! The facility director confirmed they ARE licensed and other patients there receive disability benefits with no issues. They think EDD might be looking at their old location's information in their system. My husband's claim started on 3/15/25, and we're now over 6 weeks without any payment! I've called the main number (800-480-3287) at least 30 times and either get a busy signal or automated message saying to call back later. To make things worse, we can't even access his online account. When I try to register using his info on SDI Online, the system says it 'can't verify this information.' We desperately needed this money weeks ago for our mortgage and medical bills. Has anyone dealt with this facility licensing denial issue before? Any suggestions on what to do or how to actually reach a human at EDD?
Hey everyone, I'm having an issue with my paid family leave claim. I submitted it on October 3rd, but when I try to check the status online, it says it's not available. Has anyone else experienced this? It's been a few weeks now and I'm starting to get worried. Any advice on what I should do next?
Hey Kaitlyn! I went through the exact same thing last month. After 3 weeks of "not available" status, I finally got through to someone who told me that sometimes claims get stuck in a weird limbo state in their system. They had to manually push mine through - turned out it was just sitting there waiting for someone to look at it. Definitely try calling first thing in the morning like Teresa suggested, or if you're really fed up, that claimyr thing Abigail mentioned might be worth it. Also make sure you didn't miss any mail from them - they sent me a random form request that I almost missed. Good luck! ๐ค
This is super helpful Giovanni! Thanks for sharing your experience. The "limbo state" thing makes so much sense - I bet that's exactly what's happening with mine. I'm definitely going to try calling first thing tomorrow morning. If that doesn't work, I might have to bite the bullet and try that claimyr service. Really appreciate you taking the time to explain what worked for you! ๐
I'm going through the exact same thing! Filed my PFL claim on October 1st and it's been radio silence ever since. The "status not available" message is driving me crazy because I have no idea if they even received it properly. Reading all these comments is both comforting (knowing I'm not alone) and terrifying (realizing how broken the system is). I think I'm going to try calling at 8am sharp tomorrow morning like Teresa suggested, and if that doesn't work I might have to consider that claimyr service even though $20 feels steep. Has anyone tried faxing them? I know it's old school but sometimes those methods work better than the online portal. Really hoping we all get some resolution soon - this whole situation is so stressful when you're already dealing with family leave stuff! ๐ค
Carmen, I totally feel your frustration! I'm in a similar boat - filed mine on October 5th and getting the same "status not available" nightmare. The stress of not knowing what's happening while you're already dealing with family stuff is just awful. I haven't tried faxing yet, but that's actually a brilliant idea! Sometimes those old-school methods really do work better than their glitchy online system. If you do try faxing, please let us know how it goes - might be another option for all of us stuck in this mess. Definitely going to join you in the 8am calling brigade tomorrow! ๐
I'm currently 34 weeks pregnant and submitted my SDI claim on 3/15/2025, with my last day of work being 3/14. When I check my claim status in SDI Online, it shows 'pending medical provider form' which has me confused. During my prenatal appointment yesterday, I asked my OB about submitting the medical certification, but she said she already entered it in the system. Then she mentioned something about how I should have waited the 7-day waiting period before filing my claim? I'm completely lost now... Did I mess up by submitting too early? Do I need to cancel this claim and submit a new one after the waiting period passes? Or will my current claim process automatically after the waiting period? I really can't afford any delays since my due date is approaching fast. Has anyone dealt with this situation before with pregnancy disability?
Just to update you on current timelines - I help people with disability claims regularly, and right now EDD is taking about 12-14 days to process pregnancy disability claims even when all forms are correctly submitted. This is longer than their usual 7-10 day window. Don't panic yet! Also, make sure you're ready to complete your continued certifications when they become available - that's another common delay point in the process.
Thank you for this update! I'll try to be patient for another week at least. For the continued certifications, will I get a notification when it's time to complete those? This is my first time filing for disability so I'm still learning how everything works.
Yes, you'll receive an email notification when it's time to certify. For pregnancy disability, you typically certify every two weeks. Make sure to complete these promptly as they become available - late certifications can cause payment delays. Also, if you plan to transition to Paid Family Leave after your recovery period, remember that's a separate application you'll need to file.
I'm going through this exact same situation right now! Filed my pregnancy disability claim at 36 weeks and have been stuck on "pending medical provider form" for 8 days. My OB's office insists they submitted everything but I'm starting to wonder if there was an issue with the submission. Reading through all these responses is really helpful - sounds like 2-3 weeks is pretty normal right now. I'm planning to call my doctor's office again tomorrow to double-check they have a confirmation number for the DE 2501 form submission. The waiting is so stressful when you're this close to your due date and counting on that income!
I've been trying to check the eligibility of my claim for hours now. Called the number and was on hold for over 30 minutes, but no one ever picked up. This is so frustrating! Has anyone else had this problem? Any tips on how to actually get through to a real person?
Just went through this nightmare myself last week! What finally worked for me was calling the disability line (1-800-480-3287) at exactly 8:00 AM when they open. I literally had my phone ready and hit redial the second it turned 8:00. Got through after about 20 minutes. Also, when you get to the automated menu, press 1-2-1 to get to the disability claims department faster. Don't give up - persistence is key! ๐ช
Is anyone else feeling like the EDD is the DMV of maternity benefits? I'm having so many issues with my SDI/PFL claims and it's impossible to get through to anyone for help. It's so frustrating trying to get critical info while dealing with a newborn! I've been seeing all sorts of problems: - Claims getting approved but no payment coming through - Payments randomly stopping after a month - Submitted appeals going unanswered - Claims not being processed, missing paperwork - Update forms in the EDD inbox not working - Issues setting up online accounts with ID.ME It feels like the system is full of glitches and it's nearly impossible to get through on the phone. Who has time for this with a new baby? Has anyone found a way to actually get help or speak to a real person? I'm at my wit's end here!
This is so relatable! ๐ญ I'm going through the exact same thing - my PFL claim has been "pending" for 6 weeks now and I've called probably 200+ times. The automated system just hangs up on you half the time! What's really frustrating is that we NEED this money to care for our babies, but they make it nearly impossible to get. I've tried everything - calling at different times, using different phone numbers, even had my partner call. Nothing works. I'm definitely going to look into that Claimyr service @Chloe Anderson mentioned. At this point $20 seems like a bargain if it actually gets me through to a human being. This system is absolutely broken and it's hurting families when we're most vulnerable. Thanks for posting this - at least we know we're not alone in this nightmare! ๐ช
@Natalie Chen I m'so sorry you re'dealing with this too! 6 weeks pending is absolutely insane. I just joined this community after finding this post because I m'in a similar boat - my SDI claim has been under "review for" 3 weeks now and I m'getting desperate. The fact that the automated system literally hangs up on people is just cruel when we re'already stressed about finances and caring for newborns. I m'definitely going to try that Claimyr service too. $20 is nothing compared to the thousands we re'owed in benefits. It s'shameful that we have to pay a third party just to access services we ve'already paid into through our taxes! Has anyone tried reaching out to local news stations about this? Maybe if we get some media attention they ll'actually fix their broken system. We shouldn t'have to suffer like this during what should be a special time with our babies. ๐ค
Just joined this community after going through the exact same ordeal! ๐ค My SDI claim has been stuck in "pending" status for 2 months now, and like everyone else, I can't get through to anyone. It's absolutely maddening that we have to fight tooth and nail just to get benefits we've already paid into. I've tried all the usual tricks - calling first thing in the morning, using different phone numbers, even having family members call on my behalf. The system is clearly overwhelmed and outdated. Thanks @Nia Jackson for that comprehensive list of tips! I'm definitely going to reach out to my state rep - never thought of that before. And @Chloe Anderson, I'm seriously considering that Claimyr service too. At this point, $20 is a small price to pay for my sanity and to actually get the help I need. It's so frustrating that we have to deal with this stress while caring for newborns. The EDD really needs a complete overhaul. We shouldn't have to become detectives and use third-party services just to access our own benefits! Hang in there everyone - hopefully sharing strategies and supporting each other will help us all get through this nightmare! ๐ช๐ถ
Yara Assad
This is such a relief to hear that you got through and got it resolved! I'm dealing with a similar licensing issue with my SDI claim right now - got approved initially but then hit with a denial saying my treatment facility "doesn't meet requirements" even though they've been licensed for years. Your post gives me hope that it's just a database error. I'm definitely going to try Claimyr since calling directly has been impossible. Thanks for sharing your experience and keeping us updated - it really helps to know these issues can actually get fixed!
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Yara Abboud
@Yara Assad I m'so glad my experience could help! It s'honestly such a relief knowing this is a common issue and not just us going crazy. The Claimyr service really was a game changer - I was skeptical at first too but after weeks of getting nowhere with direct calls, it was worth every penny to finally talk to someone who could actually see what was happening in the system. Make sure you have all your facility s'licensing info ready when you call, including their NPI number if possible. The agent I spoke with said having that documentation ready really speeds up the override process. Wishing you the best of luck getting this resolved quickly! ๐ค
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Sofia Gomez
I'm going through something very similar right now! Got approved for SDI two weeks ago but then received a denial letter three days later citing "facility licensing verification issues" for the outpatient mental health clinic I'm receiving treatment at. The clinic administrator was just as confused as I was - they've been licensed and operating for over 8 years with no issues, and they have multiple other patients currently receiving disability benefits without problems. Reading through all these responses is honestly the first time I've felt hopeful about this situation. I had no idea this was such a common problem with EDD's outdated databases. I've been trying to call for over a week with zero success - just endless busy signals and "call back later" messages. @Diego Chavez thank you so much for sharing your experience and keeping everyone updated! Seeing that you actually got it resolved gives me hope. I'm definitely going to try the Claimyr service since direct calling seems impossible. Also going to ask my clinic to prepare all their licensing documentation including the NPI number as suggested. For anyone else dealing with this - it's reassuring to know we're not alone in this mess and that there are actual solutions that work!
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Jacob Smithson
@Sofia Gomez I m'so sorry you re'dealing with this too! It s'crazy how many people are experiencing the exact same issue with EDD s'licensing database problems. After reading through everyone s'advice here, it sounds like you re'on the right track asking your clinic to prepare all the documentation. Based on what others shared, make sure they include: their current license with effective dates, NPI number, current address, and maybe even a letter explaining that other patients receive benefits there without issues. It really seems like this is just a technical glitch on EDD s'end rather than any real problem with the facilities. Hopefully the Claimyr service works as well for you as it did for Diego! Keep us posted on how it goes - it s'helpful to know what s'working for people in similar situations.
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