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Consultative Examination

Definition - What does Consultative Examination mean?

A consultative examination, in the context of Social Security, refers to an examination scheduled by the U.S. Social Security Administration (SSA) for claimants after it is determined that their medical records are not sufficient to accurately evaluate the disability. Although the SSA relies heavily on the records prepared by a claimant's treating source, a consultative examination is scheduled when these records are found insufficient or inadequate.

Justipedia explains Consultative Examination

To receive disability benefits through Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) programs, a claimant needs to establish his or her permanent and total disability with the SSA. Medical records from a claimant's treating source play a vital role in helping the SSA to determine if the claimant is disabled to the extent that he or she cannot perform any kind of work. When the medical records are found to be insufficient or inadequate, the SSA schedules a consultative examination for the claimant with a physician. These physicians are independent physicians who are contracted by the SSA to perform consultative examination.

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