Can't get through to SS agent about SSDI appeal deadline - help!
I filed for SSDI after my workplace injury last October and got denied in February. I immediately submitted an appeal but now I'm panicking because the 60-day deadline to submit additional medical evidence is this Friday! I've called SS every day this week (42 times according to my phone log) and can't get through to anyone. Just busy signals or disconnected after waiting 2+ hours. The local office is booked solid for 3 weeks and I need to talk to someone ASAP about what medical records they need. The denial letter mentioned something about my "functional capacity assessment" not matching my claim? My doctor is on vacation until next week so I can't even get new records until then. Has anyone successfully reached SS by phone lately? What's the fastest way to get this deadline extended before I lose my appeal rights??
20 comments
Caleb Stark
Take a deep breath - you still have options! The 60-day deadline can be extended for "good cause" which includes difficulty getting medical evidence. Call the main SSA number (1-800-772-1213) right at opening time (7am in your time zone) and press options for disability/appeals to avoid the general queue. If you've documented your call attempts, that's evidence you've been trying. Alternatively, you can submit what you have before the deadline with a letter explaining that additional evidence is forthcoming as soon as your doctor returns.
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Harper Thompson
•Thanks for responding! I tried calling at 7am sharp this morning and still got the "all representatives are busy" message after waiting 45 minutes. Do you know if submitting just a letter requesting extension counts as meeting the deadline? I'm terrified of losing my appeal rights because of their impossible phone system.
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Jade O'Malley
you should submit watever u have before deadline even if incomplete!!!! i missed my ssdi deadline by 3 days and had to start ALL OVER lost 4 months of backpay bcuz of it
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Harper Thompson
•OMG that's terrifying. I'll definitely submit something even if it's just explanation letter. Did you try calling too or just missed paperwork deadline?
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Hunter Edmunds
I had this EXACT SAME PROBLEM last month trying to reach someone about my disability review! After wasting HOURS on hold and getting nowhere for two weeks, I finally discovered Claimyr (claimyr.com) - they basically hold your place in line and call you when an actual SSA agent is on the line. Worked perfectly for me and I got through in about 90 minutes instead of spending all day on hold. They have a video demo at https://youtu.be/Z-BRbJw3puU that shows how it works. Totally worth it since I was about to miss a critical deadline too.
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Ella Lewis
•Does this really work? Sounds too good to be true with how impossible the SS phone system is. Has anyone else used this?
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Andrew Pinnock
Submit your appeal with EVERYTHING you currently have plus a detailed letter explaining: 1) Your attempts to contact SSA (with dates/times), 2) That your doctor is unavailable until [specific date], 3) Request a "good cause extension" for submitting the remaining medical evidence, and 4) Specifically address the "functional capacity" issue mentioned in your denial. For the functional capacity issue - this is actually the heart of most SSDI denials. They're looking at whether your medical condition prevents you from doing ANY substantial work, not just your previous job. Without seeing your specific denial, it sounds like they're saying your medical evidence doesn't support your claimed limitations. You'll need very specific functional limitations documented by your doctor.
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Brianna Schmidt
•Not the OP but thank you for this explanation! I've been denied twice and never understood what "functional capacity" actually meant. They kept saying I could do "some type of work" even though I can barely stand for 10 minutes. The whole system is designed to confuse people!
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Alexis Renard
The functional capacity thing is tricky. My brother-in-law got denied twice because his doctor just wrote "patient cannot work" which SS doesn't accept. They need SPECIFICS like "cannot sit more than 20 minutes" or "cannot lift more than 5 pounds" or "requires unscheduled breaks every hour due to pain"
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Harper Thompson
•This is super helpful, thank you! I'm going to make a list of very specific limitations to discuss with my doctor when he's back. The denial letter mentioned that they believe I can still do "sedentary work" despite my back injury, but they didn't consider that I can't sit for more than 30 minutes without severe pain that requires me to lay down.
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Hunter Edmunds
Also make sure you fax your appeal paperwork AND mail it certified with return receipt. My appeal was "lost" even though I had confirmation it was received. Having multiple proof methods saved me. And if you can somehow get an actual person on the phone, GET THEIR NAME and RECORD THE TIME/DATE of conversation in a notebook.
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Brianna Schmidt
•YES THIS!!!! I always record everything cause SS "lost" my paperwork THREE TIMES during my disability process! Write down EVERY conversation, get badge numbers if possible, and send EVERYTHING certified mail with return receipt!!!!
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Ella Lewis
my cousin works for ssa and says friday afternoon is actually the best time to call not morning cuz everyone calls in the morning! also the wait time estimator is a lie it always says "more than 1 hour" even when its actually 30 min sometimes
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Harper Thompson
•Really? I'll try Friday afternoon tomorrow then as a last resort. Did your cousin mention any specific time that's best?
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Caleb Stark
Regarding your functional capacity assessment question: SSA uses something called the RFC (Residual Functional Capacity) form that rates your ability to perform work-related activities. For SSDI appeals, you should have your doctor complete an RFC form that specifically addresses your limitations. There are different forms depending on whether your condition is physical, mental, or both. You can find templates online, but the key is having your doctor document specific medical reasons WHY you cannot perform even sedentary work. Generic statements about being "disabled" or "unable to work" aren't enough - they need medical evidence that translates to specific work limitations.
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Harper Thompson
•Thank you for this detailed info! I had no idea about the RFC form - this might be exactly what I'm missing. I'll find a template online and have it ready for my doctor to fill out when he returns. You've been incredibly helpful!
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Jade O'Malley
has anyone here tried going to the congressperson office for help with SS? my neighbor did that when she couldnt get anwhere with her disability claim and suddenly everything got fixed in like 2 weeks
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Alexis Renard
•I did this last year! Called my representative's office and explained I was about to be evicted while waiting for my SS appeal. They have dedicated caseworkers for social security issues and got me a status update within 3 days. Didn't speed up my whole case but at least I knew what was happening.
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Andrew Pinnock
Update on your deadline question: Submitting a written request for extension BEFORE the deadline counts as meeting the requirement. Make sure you include your name, SSN, the date of the denial letter, and explain your good cause reason (documented phone attempts + doctor unavailability). Send it certified mail with return receipt. You should still try to submit your appeal form with whatever evidence you currently have, but the extension request protects your rights.
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Harper Thompson
•THANK YOU!!! This is exactly what I needed to know. I'm going to send in what I have tomorrow with the extension request letter via certified mail. You've seriously saved me from a panic attack. I'll also try the Claimyr thing another person mentioned to see if I can actually talk to someone and get verbal confirmation.
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