It is common for individuals to have periods of time when they deny a disabling condition exists, to themselves, to their families, and to their medical providers. For some, it is a first approach to coping with a new condition. During this period of time, an individual's communication with medical providers may not accurately or fully describe the severity of a condition or how seriously it affects day-to-day activities. In most cases, the State Disability Insurance program will make its determination based on the medical provider's statement. If the medical provider does not know the impact of the disability, the report made on the State Disability Insurance application will be inaccurate or incomplete, which can affect eligibility and the length of time the benefit will be awarded. In some cases, an additional independent medical examination is conducted and paid for by the state.