Back to California Disability

Maxwell St. Laurent

Unable to get payments after doctor submitted SDI certification - Best time to call EDD?

I'm pulling my hair out trying to continue my disability payments! My doctor submitted the supplementary certification form on 12/26 to extend my SDI benefits (my return date was even updated on my account). But when I check online, it shows I need to 'submit continued claim certification' even though there's NOTHING for me to submit on my end! My doctor confirmed they submitted everything required from their side. I've called EDD SDI 7 times today starting at 8:30am and either get disconnected or stuck on hold forever. I'm getting desperate because my bills are due next week and I was counting on this payment. What's the best time to actually reach a human being at SDI? And has anyone dealt with this weird disconnect between what the system shows and what my doctor says they've already submitted? I'm so confused about why they're not issuing payments even though everything appears to be in order.

its always like this. SDI systems never talk 2 each other. try calling exactly at 8am when they open. thats when i finally got thru after trying for days.

0 coins

Thanks, I'll try right at 8am tomorrow. Were you able to resolve something similar when you got through?

0 coins

OMG I went through the EXACT same thing last month!!! My doctor submitted the certification continuation but the stupid system still showed I needed to submit something. So frustrating! I spent a whole week trying to call before I finally reached someone. Turns out there was a "system flag" on my account that needed to be manually cleared by a rep. The doctor DID submit everything correctly but it wasn't properly processing in their system. Did your doctor use the DE 2525XX Supplemental Certificate form? Sometimes they use the wrong form which causes these issues.

0 coins

Yes! They used the DE 2525XX form. This gives me hope - sounds like the exact same issue. Did you have to do anything special once you reached someone?

0 coins

The best time to call EDD SDI is between 8:00-8:15am or 4:30-4:45pm. The middle of the day is when their call volume is highest. The issue you're describing is actually quite common - there's likely a processing delay between your doctor's submission and the system updating. A few things to try: 1. Ask your doctor for confirmation/receipt number of their submission 2. Check your SDI Online account for any messages or alerts 3. Use the Contact EDD feature in your SDI Online account to send a message (this creates a record) If your return-to-work date was updated, that's a good sign their system did receive something. There might be a processing backlog causing the delay between receipt and payment issuance. But you definitely need to speak with a representative to resolve this.

0 coins

Thank you! I'll try those specific time windows. My doctor gave me a confirmation number for the submission, so I'll definitely mention that when I get through. I've checked for messages but there's nothing there explaining the issue.

0 coins

i had this problem too and it took FOREVER to reach anyone. my neighbor told me to use Claimyr and it actually worked. its a service that connects you to EDD without waiting on hold for hours. i was skeptical but got through to a real person in about 20 mins instead of spending days trying. check out claimyr.com - they have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd once i got through, they told me there was a glitch with how my doctor's certification was processed. doctor did everything right but the system wasn't recognizing it properly. the rep fixed it right there.

0 coins

Is this legit? Sounds too good to be true. How does it even work??

0 coins

yeah its legit! they basically keep calling EDD for you using their system until they get through, then connect you. saved me days of frustration. my doctor had submitted everything correctly too but there was some flag in their system preventing the payment.

0 coins

This is a common issue with SDI's system. When your physician submits a supplementary certification (DE 2525XX), there can be a processing delay of 7-10 business days before the system properly recognizes it. However, since your return date was updated, this indicates the form was received but is stuck in processing. The system message about needing to submit a continued claim certification is misleading in your situation. There's nothing for you to submit - it's an internal processing error. When you reach a representative, specifically mention: 1. The date your doctor submitted the supplementary certification (12/26) 2. That your return-to-work date was updated in the system (this proves they received it) 3. Ask them to check for "pending forms" or a "certification flag" on your account In most cases, they can manually release the payment once they verify the doctor's submission is in their system. Persistence is unfortunately necessary with EDD SDI issues like this.

0 coins

Thank you for this detailed explanation! This makes so much sense now. I'll specifically mention these points when I get through. Knowing what to ask for should help speed things up.

0 coins

I work in a doctor's office and we see this ALL THE TIME with our patients on disability. The problem is that SDI's system has two different processing tracks - one for initial claims and another for continuing certifications. Sometimes the continuing certification gets stuck between systems and requires manual intervention. The fact that your return date updated is actually good news - it means the system did receive your doctor's submission. But there's likely a flag preventing the payment from processing automatically. When you call, ask specifically about a "pending certification review" or a "certification exception." These are terms the reps understand. Also, be sure to mention the specific date (12/26) when your doctor submitted the form, as they can search for it in their system by date. The absolute best time to call is 8:00am sharp - be dialing at 7:59 and hitting send exactly at 8:00. The next best window is 4:30-4:45pm.

0 coins

is this why my doctor always tells patients to call SDI themselves after they submit stuff? they say they cant do anything else to help even tho its their paperwork causing the problems!

0 coins

UPDATE: Finally got through this morning at 8:01am! The rep confirmed exactly what many of you said - my doctor's certification WAS received but there was a "processing exception" that required manual review. Apparently the system flagged it because my diagnosis code was updated slightly from my initial claim. The rep was able to override the exception and release my payment - it should be deposited within 24-48 hours! For anyone else experiencing this issue, definitely mention "processing exception" or "certification flag" when you call. The rep immediately knew what I was talking about when I used those terms. Thanks everyone for your help and suggestions!

0 coins

Great news! This is exactly the issue I suspected. The system is extremely sensitive to any changes in diagnosis codes between certifications. Glad you got it resolved!

0 coins

So happy for you!! Isn't it ridiculous that we have to jump through all these hoops when we're already dealing with health issues?? The whole system needs an upgrade!

0 coins

This is such a relief to read! I'm dealing with a similar situation right now - my doctor submitted my continuation form 3 weeks ago but my payments stopped. Your update gives me hope that it's just a processing issue and not something more serious. I'm going to try calling at exactly 8am tomorrow and use those specific terms you mentioned. Did the rep say how common this diagnosis code flagging issue is? I'm wondering if my doctor should be aware of this when they submit future certifications.

0 coins

California Disability AI

Expert Assistant
Secure