Seeing your Social Security Disability Insurance (SSDI) claim status update to “Step 3 of 5: We started a medical review” can feel overwhelming. At this stage, the Disability Determination Service (DDS) in your state takes a closer look at your medical condition to decide whether you qualify for disability benefits.
It’s normal to feel anxious — but understanding what happens during this review can help you feel more prepared and confident.
What Does DDS Do During Step 3?
Once your claim is sent to the DDS, an examiner and a medical consultant begin evaluating your case. They focus on the medical aspects of your claim, which includes:
- Reviewing your SSDI application or appeal file and medical history
- Requesting medical records from the doctors, hospitals, and clinics you listed
- Comparing your condition against Social Security’s definition of disability
Because the DDS relies heavily on medical evidence, it’s essential that all of your treatment providers are listed accurately in your paperwork.
What If DDS Needs More Information?
Sometimes the records from your doctors don’t provide enough detail. In these cases, the DDS may schedule a Consultative Examination (CE).
- What is a CE? It’s an exam performed by an independent doctor hired by the SSA. The goal is not to provide treatment, but to give DDS more information about your condition.
- What to Expect: The doctor may perform physical or psychological tests, ask about your daily activities, and review your medical history.
It is important to attend your CE appointment. Missing it can cause serious delays or even harm your claim.
How Does DDS Make a Decision?
After collecting all medical evidence, the DDS examiner and medical consultant review your case. They consider:
- Medical Severity: Do your conditions limit your ability to perform basic work activities?
- Work Capacity: Can you still do your past work, or any other type of work available in the national economy?
This evaluation is part of Social Security’s five-step Sequential Evaluation Process. There’s no strict deadline for the DDS to finish, but your SSA status bar gives an average timeframe for your state.
How Will You Be Notified?
Once the DDS reaches a decision, they send their findings back to Social Security. You’ll then receive a letter explaining the outcome:
- Approval: The notice will tell you when your benefits start, how much you’ll receive monthly, and whether you qualify for back pay or healthcare benefits.
- Denial: The letter will explain why your claim was denied and include information about how to appeal.
If you are at the reconsideration stage and your claim is denied again, the next step is requesting a hearing before an Administrative Law Judge.
How to Prepare for Step 3 (Practical Tips)
You can improve your chances of success by taking a few proactive steps:
- List Every Treatment Provider: Double-check that you’ve included all doctors, specialists, hospitals, and clinics.
- Follow Up On Records: Ask your providers to send records promptly when DDS requests them.
- Keep a Symptom Diary: Tracking how your condition impacts daily life can help your doctor provide stronger records.
- Attend All Exams: Whether it’s regular appointments or a CE, showing up is critical.
- Stay Responsive: Reply quickly if DDS or SSA asks for more information.
Frequently Asked Questions
Many claimants have similar questions when their case reaches Step 3 of the SSDI process. Below are answers to some of the most common concerns so you know what to expect.
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How long does step 3 take?
There’s no set timeline, but reviews typically take several weeks to a few months depending on how quickly medical records are received.
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What happens if I miss my CE?
Missing or rescheduling without notice can delay your case or even result in denial. Always attend or reschedule in advance if necessary.
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Does DDS contact me directly?
Yes, they may reach out for clarification or to schedule exams. Make sure your contact information is current.
Get Help with Your Disability Claim
Step 3 is one of the most critical points in the SSDI process — and unfortunately, many claims are denied here, even when the applicant has strong medical evidence. Having an experienced disability attorney can ensure that the DDS gets a complete and accurate picture of your condition.
At the Ortiz Law Firm, we help claimants strengthen their cases and fight wrongful denials. Whether you are filing your first application or appealing a denial, we are here to help. Call us today at (888) 321-8131 for a free case evaluation.
