When A Consultative Exam Is Required in A Disability Claim

Social Security routinely sends claimants out for Consultative Exams (CEs) with an independent doctor during the early stages of the Social Security disability process, but sometimes a claimant will be requested to attend one of these exams even after they have a hearing with an Administrative Law Judge (ALJ). Although not the standard, it is also not uncommon for judges to send claimants out for an exam if the ALJ is unable to decide on disability claim because of a lack of medical evidence.

No matter when a CE is ordered, it is imperative that the claimant attend the exam as scheduled. Failure to attend can result in the denial of a claim. After the exa,m the medical professional conducting the exam will issue a report to Social Security on the findings. The exam is not the only evidence used to issue a decision in a disability claim, but it is still important to attend.

There are different types of exams a claimant may be required to attend. There are physical exams and mental health exams that are typically required based on the impairments the claimant is diagnosed with. A claimant will be notified several weeks prior to the scheduled exam.

Below is information on Social Security’s protocols related to CE exams.

If the evidence provided by the claimant’s own medical sources is inadequate to determine if he or she is disabled, additional medical information may be sought by recontacting the treating source for additional information or clarification, or by arranging for a CE.

If you are interested in learning more about applying for Social Security disability and would like a free consultation, please contact Greeman Toomey Law Office at 612-332-3252 or visit www.greemantoomey.com.