EDD disqualified my SDI claim despite having doctor's note - what am I missing?

There could be several reasons why you got disqualified. Did you check if your doctor filled out the medical certification form correctly? Sometimes they miss sections or don't provide enough details about your condition. Another possibility is that you might have accidentally answered something incorrectly on your application. Did you have any gaps in employment before filing? Sometimes EDD disqualifies claims if you weren't actively working before becoming disabled.

the same EXACT thing happened to me last month!!! turns out my dr put the wrong diagnosis code on the form. call ur dr first and ask them to check if they made any mistakes on the form.

Check your EDD SDI account inbox or your physical mail. There should be a Notice of Determination explaining exactly why you were disqualified. The disqualification reason is crucial because it determines what your next steps should be. Common disqualification reasons include: 1. Insufficient wage credits in your base period 2. Incomplete medical certification 3. Late filing (beyond 49 days from disability onset) 4. Conflicting information between your application and doctor's certification 5. Pre-existing condition issues Don't panic yet - many disqualifications can be appealed with the right documentation. But first, you need to know the specific reason.

EDD is THE WORST!!!! I had mental health disability claim last year and they denied me too at first because they said my condition wasn't "verifiable" enough. Like WTF does that even mean??? My therapist and psychiatrist both submitted paperwork! Had to fight them for WEEKS to get it approved. The system is BROKEN!!!!

I work at a doctor's office that handles lots of disability forms, and we see this happen frequently. The most common issues with mental health claims are: 1. The doctor didn't specify clear functional limitations (how your condition prevents specific job duties) 2. The estimated recovery time wasn't clearly stated 3. Treatment plan wasn't detailed enough 4. Missing documentation of ongoing care Call your doctor's office and ask them to review what was submitted. They might need to provide additional documentation to support your claim. Also, did you file for SDI or for Paid Family Leave? They're different programs, and people sometimes file for the wrong one accidentally.

Have you tried calling EDD directly? You really need to find out the specific reason for disqualification before you can fix it. I had to call about 50 times before I got through when I had an issue with my claim last year. So frustrating!

After dealing with a similar situation last month, I discovered Claimyr (claimyr.com) which helped me get through to an actual EDD representative in about 20 minutes instead of calling for days. They have a service that basically calls EDD for you and then connects you when they reach an agent. Saved me so much stress when my claim was incorrectly disqualified. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd Once I got through, the rep explained exactly why my claim was flagged (doctor used wrong date codes) and I was able to get it fixed that same day. For mental health claims especially, talking to an actual person makes a huge difference.

One more thing to check - make sure you're not confusing a "pending" status with "disqualified." They're very different. Sometimes the SDI Online system shows a pending status that people misinterpret. A true disqualification will specifically say "disqualified" or "denied" and generate a formal Notice of Determination. If you've been truly disqualified: 1. You have 30 days from the date on the Notice to appeal 2. Appeals can be submitted online through your SDI account 3. You'll need to include any supporting documentation 4. Be specific about why you believe the decision is incorrect Also, while your appeal is pending, continue with your treatment plan and keep documentation of everything. This will be important if you need to provide additional evidence.

did u check ur spam folder? sometimes edd emails go there.

Let us know what you find out! I'm dealing with an EDD issue too (different situation) and it helps to hear how others resolve their problems.

I went through something very similar with my mental health disability claim about 6 months ago. The "disqualified" status without explanation is incredibly frustrating, but don't lose hope! In my case, it turned out that my psychiatrist had accidentally left a field blank on the medical certification form that was required for mental health conditions specifically. A few things that helped me: 1. I called EDD at exactly 8:00 AM when they opened - had better luck getting through early 2. When I finally spoke to a rep, they could see internal notes about why it was flagged 3. My doctor had to resubmit with more detailed information about my functional limitations The key for mental health claims is that your doctor needs to be very specific about HOW your condition prevents you from performing your job duties. Generic statements like "patient has anxiety" aren't enough - they need details like "patient experiences panic attacks that prevent concentration" or "severe depression causes inability to meet deadlines." Stay persistent and don't give up. The system is definitely broken, but most of these issues can be resolved with the right documentation. Keep advocating for yourself!

I'm going through almost the exact same thing right now! Filed my SDI claim 2 weeks ago for anxiety and PTSD, and I just got the disqualified status yesterday with no explanation. It's so stressful when you're already dealing with mental health issues and then the system that's supposed to help you just adds more anxiety. Reading through all these responses is actually really helpful - I had no idea that doctors needed to be so specific about functional limitations. I'm wondering if that's my issue too. My therapist filled out the form but probably just wrote something general about my conditions without explaining how they specifically prevent me from doing my job duties. I'm definitely going to try that 8 AM calling strategy and also check with my doctor about being more detailed. Has anyone had success with getting a letter from both their psychiatrist AND therapist to strengthen the case? I see both regularly and they might have different perspectives on how my conditions affect my work capacity. This whole thread is making me realize I'm not alone in this struggle. The EDD system seems really poorly designed for mental health claims specifically.

I'm so sorry you're going through this - the same thing happened to me about 8 months ago with my anxiety and depression claim. The "disqualified" status with zero explanation is absolutely maddening when you're already struggling with mental health issues. A few things that saved me: 1. Call EDD at exactly 8:01 AM (not 8:00 - everyone calls then). I had better luck getting through a minute after they opened. 2. When I finally got through, the rep told me my claim was flagged because my doctor didn't specify which job functions my condition prevented me from performing. Apparently "anxiety and depression" isn't enough - they need to know HOW it impacts your specific work duties. 3. My psychiatrist had to submit a supplemental letter detailing things like "patient cannot concentrate for more than 10 minutes due to intrusive thoughts" and "panic attacks prevent client interactions." The whole process took about 6 weeks total to resolve, but I did get approved retroactively once we provided the detailed functional limitations. Don't lose hope - this is fixable, just incredibly frustrating to navigate while you're already dealing with everything else. Also, document EVERYTHING - every phone call, every form submission, every conversation with your doctors. You'll need this paper trail if you have to appeal.

I'm dealing with a very similar situation right now and this thread has been incredibly helpful! I filed for SDI about 2 weeks ago for severe depression and anxiety, and just got the dreaded "disqualified" status yesterday with absolutely no explanation. Like you, I have proper medical documentation and was definitely not looking for work - that's literally the opposite of why I'm filing! Reading everyone's experiences here, I'm starting to think the issue might be that my doctor wasn't specific enough about functional limitations on the DE 2501 form. They probably just wrote something general about my conditions without explaining exactly HOW my depression and anxiety prevent me from performing my job duties. My symptoms include debilitating panic attacks during meetings, inability to concentrate on tasks for more than a few minutes, and complete social withdrawal that makes client interactions impossible. I'm going to try the 8:01 AM calling strategy tomorrow (brilliant tip about calling one minute after 8:00!) and also contact both my psychiatrist and therapist to get more detailed documentation. It's so frustrating that we have to fight this hard when we're already struggling, but seeing that so many of you got it resolved eventually gives me hope. Will definitely update this thread with what I find out - seems like we're all learning from each other's experiences with this broken system!

I'm so sorry you're dealing with this frustrating situation! As someone who works in disability advocacy, I see this happen unfortunately often with mental health claims. The lack of explanation with the disqualification is completely unacceptable, but there are definitely steps you can take. Based on what you've described, here are the most likely culprits: 1. Your doctor may not have provided specific enough functional limitations on the DE 2501 form 2. There could be a technical error or missing information that triggered an automatic denial 3. Sometimes the system flags claims for manual review and mistakenly shows "disqualified" instead of "pending" My recommendations: - Call EDD at exactly 8:01 AM (not 8:00 when everyone else calls) - Ask the rep to read you the specific disqualification reason from their internal notes - Request your doctor submit a detailed supplemental letter explaining exactly how your anxiety and depression prevent specific work functions - Document everything - dates, names, reference numbers from calls Don't give up! Most of these mental health claim denials can be overturned with proper documentation. The system is broken for sure, but you have rights and options. You've got 30 days to appeal once you receive the official notice, so time is on your side to get this sorted out. Keep advocating for yourself - you deserve support during your recovery!

I'm going through the exact same nightmare right now! Filed my SDI claim 3 weeks ago for severe anxiety and PTSD, got disqualified yesterday with zero explanation. It's absolutely maddening when you're already dealing with mental health struggles and then the system that's supposed to help just creates more stress. After reading through all these responses, I'm convinced my issue is also the functional limitations problem. My therapist probably just wrote something generic about my conditions without explaining the specific ways they prevent me from working - like how my PTSD triggers cause me to freeze up during phone calls with clients, or how my anxiety makes it impossible to focus on detailed tasks for more than a few minutes at a time. I'm definitely trying the 8:01 AM calling strategy tomorrow (genius tip about not calling exactly at 8:00!). I'm also going to contact both my therapist and psychiatrist to get them to submit much more detailed letters about my specific functional limitations. It's so frustrating that we have to become experts in navigating this broken system when we're already struggling just to get through each day. But seeing all these success stories gives me hope that this can be resolved. Thanks everyone for sharing your experiences - it really helps to know we're not alone in this fight!