Can doctors directly file EDD SDI claims for patients? My employer says they can
So my employer just told me that doctors can actually file disability claims FOR their patients with EDD? I've been dealing with severe back issues (herniated disc) for the past month and my boss suggested I take medical leave, but said my doctor could handle the disability paperwork completely. Is this actually true? I thought I had to file the claim myself and the doctor just fills out their portion. I'm confused about who initiates what in this process. Has anyone had their doctor file an SDI claim for them directly? How does the process work if they do it vs. me doing it?
18 comments


Finnegan Gunn
Your employer is partially right but not totally. Your doctor doesn't "apply" for SDI for you completely. The process is split: YOU need to file the initial claim with EDD SDI, but your doctor must complete and submit the medical certification portion (online or by mail). If your doctor participates in SDI Online, they'll get notified when you file and can certify your condition electronically. But you still need to start the claim yourself - the doctor can't initiate it for you. The process is: 1. YOU file initial claim (DE 2501) through SDI Online or paper form 2. YOUR DOCTOR completes medical certification portion (which confirms your disability) 3. EDD processes both parts together I'd recommend filing through SDI Online ASAP and then telling your doctor you've filed so they can complete their part. This way you don't miss out on any benefit days.
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Alina Rosenthal
•Thanks for explaining! So I still have to start it myself. I think my boss meant that the doctor handles the medical proof part but wasn't clear about who actually initiates the claim. That makes a lot more sense.
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Miguel Harvey
ppl get this mixed up ALL THE TIME. ur employer is wrong!! doctor ONLY files the medical part. U HAVE TO apply for SDI yourself first before dr can do anything!!! i almost lost benefits cause i waited for my dr to "file for me" and he was just waiting for me to start the claim lol. dont make same mistake!!
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Alina Rosenthal
•Oh wow, thank you for the warning! I definitely don't want to delay this. I'll file my part right away then make sure my doctor knows.
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Ashley Simian
I think I can clear this up. In California's SDI system, there's a common misunderstanding about the doctor's role. Your employer probably meant well but gave you incomplete information. Here's the ACTUAL process: - You file the initial claim (either online through SDI Online or using the DE 2501 paper form) - Your doctor completes the medical certification (Part B if paper form) - Both parts must be received by EDD before your claim is processed Some medical facilities have staff who will help patients complete their portion of SDI paperwork, which might be what your employer was referring to. But legally and procedurally, you must be the one to initiate the claim - a doctor cannot start the process for you. I recommend filing online through SDI Online - it's much faster than paper forms. Then let your doctor know you've filed so they can complete their certification. The waiting period is 7 days, and benefits are calculated from when you file (not when your doctor certifies), so don't delay your part!
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Oliver Cheng
•my doctor's office has a disability coordinator who helps with all this stuff. they literally sat with me and helped fill out MY part then did the doctor part after. maybe that's what OPs boss meant? some medical offices do the whole thing with you??
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Taylor To
When I had knee surgery last year, my doctor's office had a disability coordinator who helped me complete my part of the application, but I still had to be the one to submit it and create my SDI Online account. Your doctor isn't allowed to file the initial claim with your personal information - that violates privacy laws and EDD requirements. The doctor only certifies your medical condition after you've started the claim process. If your employer has a disability insurance coordinator, they might be able to help you complete your portion, but again, you need to be the one submitting it.
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Alina Rosenthal
•I just called my doctor's office and they said exactly what you're describing - they'll help me fill out the forms but I need to start the process. Thanks for confirming this!
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Ella Cofer
Is your employer talking about State Disability Insurance (SDI) or a private disability plan? Some companies have private short-term disability that works differently from state disability. With private plans, sometimes the doctor and employer handle more of the paperwork. But for California SDI, YOU must file first, then your doctor submits their medical certification part.
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Alina Rosenthal
•That's a great question! I checked and we just have the standard State Disability, not a private plan. I think my boss just misunderstood how it works.
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Kevin Bell
If you're struggling to reach EDD to ask questions about this (which I did when I was confused about the filing process), I recommend using Claimyr. It got me through to an actual EDD agent in about 25 minutes when I'd been trying for days on my own. They have a video demo at https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd that shows how it works. The agent I spoke with walked me through exactly what I needed to do vs what my doctor needed to do. Saved me from making mistakes that would have delayed my benefits.
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Alina Rosenthal
•Thanks for the tip! If I run into problems I'll definitely check this out. I've heard EDD phone lines are impossible to get through.
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Savannah Glover
In my case my doctor REFUSED to fill out disability paperwork until i had already filed my claim with edd!!! said it was policy at their medical group. so even if you wanted the doctor to do it all (which they cant), most doctors wont even start their part until you do yours first.
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Alina Rosenthal
•That makes sense actually. I'm going to file my claim today and then let my doctor know it's ready for their part.
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Taylor To
One important thing to note is that when you file your SDI claim, EDD automatically notifies your doctor through SDI Online if they're registered in the system. The doctor then gets a prompt to complete the medical certification for your specific claim. This electronic system is why some people think the doctor can do everything - because once you've initiated the claim, the doctor can complete their portion without any paper forms changing hands. But to repeat what everyone has said - you must start the process.
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Finnegan Gunn
•That's a good point about the electronic notification. My doctor actually called me the day after I filed online to say they received the EDD notification and had already submitted their certification. The system works well when both sides use SDI Online.
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Alina Rosenthal
Update: I filed my claim online today and called my doctor's office to let them know. They said they already received the electronic notification from EDD and would complete their portion by tomorrow! Thanks everyone for clearing this up - my employer had me totally confused about who does what in this process.
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Luca Marino
•That's awesome that it went so smoothly! It's great when the electronic system works like it's supposed to. Hope your back heals up quickly and you get your benefits approved without any issues. Your experience will probably help other people who get the same confusing advice from their employers.
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