EDD appealing doctor evaluation - what's the timeline for disability benefits continuation?

Ugh, those EDD doctors are the WORST!! I had almost the exact same thing happen to me in 2024. They love to cut people off. The doctor spent like 5 minutes with me and decided my chronic pain was magically cured. My appeal took almost 2 MONTHS and my benefits were suspended the entire time!! I had to borrow money from family to survive. Make sure your doctor writes a VERY detailed report contradicting every point the EDD doctor made. Good luck, the system is totally rigged against us!

I went through this last year and successfully appealed an IME decision. Here's what you need to know: 1. File your appeal immediately - you only have 20 days from the date on the determination notice 2. Unfortunately, benefits are typically suspended during the appeal process unless you can get a special exception 3. The appeal timeline varies, but expect 4-8 weeks for processing 4. Success rate is about 50/50, but having your treating physician provide detailed documentation dramatically increases your chances 5. Make sure your doctor's report specifically addresses why the IME doctor's assessment is incorrect based on your specific medical condition 6. If approved, you'll receive backpay for the suspended period Keep all your medical appointments during this time and document any symptoms/limitations that prove you cannot work. The more documentation you have, the stronger your case will be.

ive been thru this twice. first time i lost the appeal, second time i won. big difference was having my doc write a letter that specifically said why the edd doc was wrong. also helps if u have xrays or mri to back it up. sometimes they'll give u benefits during appeal if u can prove hardship but dont count on it

Has anyone tried Claimyr to reach EDD? I was in a similar situation last month and couldn't get through to anyone at EDD to explain my urgent situation. My friend told me about claimyr.com which got me connected to an actual EDD agent in about 15 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. The agent I spoke with explained exactly what documentation I needed for my appeal and even noted in my file that I had additional evidence coming. Might be worth trying if you're struggling to get specific answers about your situation.

My cousin went through something similar with his back injury! The EDD doctor said he was fine but his real doctor said he needed another surgery. He appealed and it was a whole big thing with paperwork and stuff. I think his benefits stopped during the appeal which really sucked. Not sure how long it took but I remember him being super stressed about money for a while. Think he eventually won though.

I work in healthcare and see this frequently with my patients. The appeal process typically takes 4-6 weeks in most cases, though some can be resolved faster if you have strong medical evidence. The key factors that improve your chances of winning an appeal are: - Consistent medical documentation showing ongoing inability to work - Specific functional limitations documented by your treating physician - Objective evidence (MRIs, X-rays, lab results) supporting your condition - A medical opinion that directly addresses and refutes the EDD doctor's findings Regarding benefits during the appeal - technically they can be suspended, but you can request continuing benefits due to financial hardship. You'll need to complete the DE 1000A form and provide evidence of your financial situation. If approved, you'll continue receiving benefits during the appeal process. The approval rate for appeals with strong medical documentation is actually quite good - around 60-70% in my experience with patients. Make sure your treating physician is specific about why you cannot return to your particular job duties.

Yeah it's legit - I was skeptical too but it saved me so much headache. Beats calling repeatedly and getting disconnected. The EDD agent actually gave me info about my case that I couldn't find anywhere online.

I'm an EDD disability appeals specialist, and I can provide some factual information about this process: 1) Timeline: The average appeal decision takes 5-7 weeks from filing, though simple cases can be faster 2) Success rates: With strong medical evidence contradicting the IME findings, appeals succeed approximately 65% of the time 3) Benefits during appeal: Standard procedure is suspension during appeal, but you can apply for continuation under financial hardship using form DE 1000A 4) Documentation: The most successful appeals include: - Treating physician reports detailing specific functional limitations - Objective medical evidence (imaging, test results) - Detailed explanation of why you cannot perform your job duties - Treatment plans showing ongoing medical necessity 5) Deadline: You must file your appeal within 20 days of receiving the determination notice I recommend having your doctor specifically address each point made by the EDD doctor and explain why they disagree with those conclusions. Be sure to meet all deadlines and keep copies of everything you submit.

Including a personal statement about your daily limitations is absolutely helpful. Be specific about activities you cannot perform, pain levels, medication side effects, and how your condition prevents you from performing essential job functions. Personal testimony combined with medical documentation creates a more complete picture of your disability.