Why Medical Evidence Matters in SSDI Applications

The SSA uses your medical evidence to:

• Confirm that you have a medically determinable impairment.
• Determine whether your condition meets or equals a listing in the SSA’s Blue Book.
• Evaluate the extent to which your condition limits your ability to work.

Without comprehensive medical evidence, even a valid disability claim in Pennsylvania may be denied.

Types of Medical Evidence Required

1. Medical Records From Your Doctors

• Office notes and treatment histories
• Test results and diagnostic imaging (X-rays, MRIs, CT scans, blood work)
• Surgical reports, if applicable
• Prescribed medications and treatment plans

2. Hospital and Clinic Records

• Emergency room visits
• Hospitalizations related to your condition
• Specialist consultations

3. Objective Test Results

• Lab reports and imaging studies
• Psychological testing (if claiming a mental health disability)
• Functional capacity evaluations that show physical or cognitive limitations

4. Mental Health Documentation (if applicable)

• Notes from psychiatrists, psychologists, or therapists
• Records of therapy sessions, counseling, and prescribed medications
• Assessments of ability to concentrate, remember, and function in daily life

5. Statements From Treating Physicians

• Medical opinions about your limitations
• Documentation of how long your condition is expected to last
• Reports detailing how your disability prevents full-time work

6. Consistency of Evidence

The SSA values consistent documentation over time. Frequent gaps in treatment or conflicting reports can weaken your case.

Pennsylvania-Specific Considerations

• Many SSDI claims in Pennsylvania are initially denied due to insufficient medical evidence.
• Local SSA field offices and Disability Determination Services (DDS) may request consultative exams if your evidence is incomplete.
• Attending these exams is mandatory and failing to do so can result in denial.

How to Strengthen Your Medical Evidence

• Keep regular medical appointments to show ongoing treatment.
• Ask your doctor to complete a Residual Functional Capacity (RFC) form, which details how your condition limits your ability to work.
• Collect records from all providers, not just your primary physician.
• Maintain a personal log of your symptoms and limitations to share with your attorney or doctor.