Va claim denied with nexus letter reddit. Need to appeal- sure.

Va claim denied with nexus letter reddit If a letter can be generated because a doctor sees a I was initially denied all of my claims back in 2020 July. For example, get your doctor to cite studies in the letter if they didn't already. 32 votes, 35 comments. Finnerty which were ok although these claims came back denied. 303(b) Chronicity and continuity. Denied. I'd talk to your VSO for the specifics on how to go about it, but submit again specifically for migraine headaches secondary to whatever condition the nexus letter establishes a link to, or maybe request a higher level review since the nexus letter File a supplemental claim and get a nexus letter to link it, yes you can, reread your denial letter it’ll state you have 1 year to appeal it with an effective date to get retroactive pay that you deserve. You can get your primary care physician to write you a nexus letter or you can pay a company to review your medical records and write you a nexus letter. I would save the HLR in case they deny the supplemental. Enhancing your documentation with a variety of supporting evidence may bolster your appeal. The first step after your claim is denied despite the presence of a nexus letter is to understand why the denial occurred. Long story short: I’ve been getting denied on a claim for literal years despite getting more and more evidence to support service connection. I have recently made a claim with the VA for back issues that was denied presumably due to not having a Nexus letter. To go this route to me is like taking the longest, most difficult route you can to get to a destination much easier to arrive at. Nexus, Sleep Study, CPAP Prescription, Spouse Statement, Prescription Copies, Med Studies and Previous VA Case provided There's no proscribed form for a nexus letter, but according to 1134(2) providers who wish to provide medical opinions that state causality must include clear and specific rationale citing evidence to support the conclusion reached, and should employ standard language appropriate for medical opinions (such as “at least as likely as not”, etc. I got denied due to no nexus so now I gotta go out and buy a nexus letter. My first va claim was Sleep Apnea back in 2014. I submitted the following supporting docs: detailed migraine log 8+ months And from the sound of your disabilities that you have gone to the doctor for, you may have secondary issues you can claim. Did you need a nexus letter to your PTSD? I was rated 50% for PTSD and denied sleep apnea (they never brought me in for a sleep study) and like you, used my private insurance to get a sleep study and was diagnosed with a moderate case. His nexus letters were very well written and reasonably priced. The problem I have is I only use the va and they don't write nexus statements. Answering your question, yes the VA can deny a claim without a C&P exam. The letter doesn't show a nexus between the two, it references that the medical opinions I’m in the exact same boat, except I was also denied a hypertension claim secondary to PTSD as well. This is sort of what I was thinking AMA meant. You will have another C&P, and maybe get a positive nexus this time. This supplemental and another fully developed. The ones you have a in service event, diagnosis, and treatment record for aka the Trifecta. Luckily migraines/headaches was granted ,though only 30% even. At the 2nd exam the doc asked me about what my toxic exposure was to cause my issue. If not being seen by the VA, you’ll need your private medical records that has the diagnostic code in it for which you are claiming For 2. I sent over my records, and they said I had enough evidence for a letter, which helped me turn the VA decision over. do you have PTSD as a result of the trauma from service, as opposed to childhood trauma or post-service trauma?) So, to answer your question, you'd have to review the denial letter to see which of these three things the VA denied you for. I'm stuck between VA Claims Insider where medical letters are paid at 6x the increase after the decision or to pay upfront for the letter, cheaper but UPFRONT. Which is why Drs. The VBA acknowledged my private nexus, but also ordered an exam from VES. During my appointment, I brought all my military medical record with me. Any suggestions and why. I'm at 90% combined. The 4 Things Every Nexus You probably need a Nexus letter linking your migraines to TERA. another and goes to a third examiner to reconcile. The frequency of interaction with loud equipment was high. I decided to go through my claims with VACI. Got a nexus letter from a podiatrist and did supplemental claim. Just get a nexus letter from the dentist and you are good. New comments cannot be posted. Let’s take a look. First through private psychologist and now through the VA. 307) so as to permit a finding of service connection, subsequent manifestations of the same chronic disease at any later date, however remote, are service connected, unless clearly attributable to intercurrent causes. I am 32 year old former Marine with constant pain in my neck and back. Get the Reddit app Scan this Prestige veteran medical ED Claim DBQ's / Nexus letter submitted but VA request C&P exam? This initial claim was denied in 2012. In addition to the claims sent for HLR I sent my denied tinnitus claim up for HLR. In my experience I would 100% recommend Dr. Another big amount of money with no more guarantee than the first denial. Need a nexus letter for diagnosis secondary to tinnitus. I got my private dentist to write a letter about how "patient complains of migraine 1-3 times per month," (among other symptoms). VA primaries won't write nexus letters for the most part, If you don't have service connection And diagnosis, you very well may have to pay for an independent medical opinion. Buddy letters (google that) and Nexus letters (google that) will help a lot! Get a VSO to help you. My first claim submitted I had a few things denied so I made an appeal. Looks like it was denied because the actual claim you submitted was not for secondary service connection, but for direct service connection. However, I also had evidence / notes from my VA docs (primary doc and sleep medicine doc) that suggested a link with OSA secondary to ptsd. But again - how does this apply to currently un-denied claims? Multiple claims. With chronic disease shown as such in service (or within the presumptive period under § 3. Submit your private diagnosis for mental health and let the C&P exam do its thing. Definitely try to get a Nexus letter. for tinnitus at first too. I was originally given 10%, and had a HLR. Check your denial letter, what was the actual denial for? Was it service connection? Check the claim letter and maybe share it with the community scrubbing your Personally Identifiable Information from the The first private psychiatrist I met with flat out said they wouldn't ever provide a nexus letter. I did a claim last summer for secondary hip conditions. When submitting your claim you should submit your medical records, nexus letter, also I would submit peer reviewed medical literature connecting tinitus to head aches, va form 21-10210 with $1200 for a denial using a third party “doctor”. If you request an HLR with a conference call and can articulate and defend your IMO or nexus letter you have about a 30% chance of having the senior rater reverse and grant your claim. Yes and no. After they have reviewed it, they contact you to tell you if they can proceed or not. My claim was submitted on Aug 20 completed my C&P exam on Sep 30 and have been sitting at PFD since OCT 21. 303) How to get cheap nexus letters w/o paying 6 months of pay to VA Insider Claims? injury, and subsequent sick call visits over years of service. Common reasons for such denials Bro they denied me and failed to address the 5 IMO’s I have on my claim. Now I have the Update: I found the paperwork from the previously denied claim. Disc bulge. Or if you can get the personal statements/buddy letter, Nexus letter, and diagnosis that would work too. The Nexus letter links your service connected disability to the issue you are claiming. VA Disability Claims I got an excellent nexus letter connecting my diabetes secondary to PTSD, the claim was denied by the VA. When asked to give an independent medical opinion as to whether a veteran’s condition is related to a specific incident during military service or another service-connected disability, the medical professional must express his/her medical Why would you pay for a private IMO when the VA already provides info. Mrs Leah has done a great job writing several Nexus letters for me. January 2022 denied again. Unfortunately, everything is not going to be service-connected. Department of Veterans Affairs investigators conducted spot checks at 10 veterans benefits offices around the country and came to a disturbing conclusion: The VA has been systemically shredding documents related to veterans’ claims, some potentially affecting their benefits. Learned more about the process. I filed by myself and I thought ok since I’ve had presumed exposure to toxins due to mid east deployment including months in a dirty Bahraini shipyard in 2003, it would’ve been easy. Did you submit nexus letter with your claim? If you didn’t provide a nexus with your claim, then the denial is not a surprise. e. The only thing that i noticed was on the evidence part, it did not recognized my nexus letter from prestige worldwide medical consulting, has anybody gone thru this as to why it would get denied. That's a diagnosis for mental health. File for mental health secondary to tinnitus. I had NEXUS letters, buddy statements, peer reviewed studies linking PTSD and OSA (something like 70 of veterans with PTSD have OSA), and at the behest of my VSO I’m skipping the HLR and going right to the board. It’s a problem the VA created. The nexus letter was very well written, showed tons of articles, studies and literature, and an opinion that Common Reasons for Denied VA Claims: VA disability expert Brian Reese outlines the top 15 reasons claims are denied, such as lacking a current diagnosis, no nexus for service-connection, no symptoms, insufficient medical evidence, missed deadlines, etc. Box 25126 If your claim is denied you need New & Relevant info to submit a supplemental, & a Nexus letter fits that requirement. My thoughts, if you can afford it than do it, after all it can only make your case stronger #1 - In my opinion you need to obtain a PTSD NEXUS/IMO Letter from a different doctor and then re-submit the PTSD claim as a supplemental to your previously denied PTSD claim with your NEXUS/IMO letter attached as well as the diagnosis of PTSD from your VA provider if this was not provided in your earlier claim. foot damage and anxiety. If that doesn't work, I may file anyway since my VA records are pretty inclusive of my MH history. I finally went ahead and claimed bruxism as secondary, they denied me (Im 50% ptsd) My dentist had commented about my teeth cracking and wearing down, but straight up refused to write when I put in the claim for bruxism the VA diagnosed me with TMJ following the Looks like it was denied because the actual claim you submitted was not for secondary service connection, but for direct service connection. A nexus letter from a medical professional could be helpful to get RA secondary VA records or a nexus, or would I need a nexus at that point. Headaches are considered one of the hardest ones to get just like sleep apnea The C&P examiner will more than likely not write up a nexus letter for you at the C&P exam since their job is to ensure all the boxes are checked and that's it, they aren't required to write up nexus letters, especially when filing secondary I did not provide any personal statements or buddy letters etc. Same as above, but you’ll want to have your private physician fill out a DBQ and Example of a Nexus Letter. Example of a Nexus Letter | Source: militarydisabilitymadeeasy. i appealed with a buddy statement and paid some medical professionals to write me up a nexus. I did one with For OSA and I got denied also with a Nexus letter from Doctor Anise, VA just isn't approving, gotta take it to HLR or the Board I'm up to 40% combined right now for tinnitus, left wrist sprain and MH and didn't submit a Nexus letter, but since I have decent healthcare with my new job I want to pursue getting everything looked at and a nexus letter made for future claims. Vietnam Veteran PTSD Denied There’s doctors that take money to give you a nexus letter. Wife received denial letter for PTSD MST. Sorry for the hard truth. Does a Nexus letter guarantee VA Oct 20, 2024 · Common Reasons for Denied VA Claims: VA disability expert Brian Reese outlines the top 15 reasons claims are denied, such as lacking a current diagnosis, no nexus for service-connection, no symptoms, insufficient Mar 1, 2024 · Yes, the VA can deny a Nexus letter if they deem the evidence insufficient, unconvincing, or if the letter contains inaccuracies. Although a nexus letter can significantly strengthen your case, it does not guarantee approval. I left there right away and am working with another psychiatrist who's in the same health group as my general practitioner. ” Again, tinnitus is a subjective condition that can be legally identified through lay observation alone (you will want to include the above info in your Personal Statement or part of your Submitting a nexus letter from an MD would strengthen your claim, but if you can’t get that, at least get the official diagnosis they are looking for and hopefully you’ll get a new C&P exam that confirms a nexus. Assuming that the Veteran has submitted evidence of a current disability or symptoms as well as indication of an association between the current condition and the in-service event, an examination is warranted. I explained to the doctor of what I was diagnosed and treated for in the military. Also some Va doctors will write it as well, but it might not be as good as a letter that is paid for. I'd talk to your VSO for the specifics on how to go about it, but submit again specifically for migraine headaches secondary to whatever condition the nexus letter establishes a link to, or maybe request a higher level review since the nexus letter Get the Reddit app Scan this QR code to download the app now VA denied my claim with nexus letter . I would get current diagnosis from a va hospital from your symptoms and get a nexus letter then I would file with all that together online. Denied the nexus letter or the claim. Just have a some general questions. ) I don't have a problem paying someone to review my medical evidence & write a Nexus letter, but it would be my last It’s a toss up. There are a few reasons for submitting a claim without a nexus letter (IMO): You just might win your claim. They asses whether a doctor will be able to generate a nexus letter based on the information given or not. I filled a supplemental claim last week with a new statement, and a medical nexus letter medical opinion from my primary The best Nexus Letter I have gotten is from my own doctor. Allen with Brightview to other veterans where they may be experiencing MH issues with little to no evidence in their service treatment records. Claims are often denied because the VA finds the evidence insufficient to establish Mar 1, 2024 · If you’re wondering “Why did my VA claim get denied with full supporting documents and a nexus letter?” you should review your claim to ensure your nexus letter effectively connects your disability to your military Jan 8, 2025 · Learn how the Caluza Triangle helps veterans win VA claims. Highlighted and tabbed by year and important event or info. I never claimed any toxic exposure, just that my issues began in service and that was my basis for seeking out disability. It's rated at 30%. My understanding is that differing medical opinions are supposed to sway in the benefit of the veteran. wont help, VA concerned noise exposure. Need more than a nexus. I submitted a nexus letter that states the opposite. ), evolution of condition over time (through both mil and civ with impacts, escalations, Looks like it was denied because the actual claim you submitted was not for secondary service connection, but for direct service connection. In addition to that, when the migraine is coming or is bad or is just ending, get to the VA ER (walk right in) and tell them you are there because "XYZ svc connected symptom is causing a migraine". I am in disbelief. Being out 10 years and getting a diagnosis and some vague nexus probably isn’t going to cut it. I have the Diagnosis’s and solid Nexus letters so I’m still waiting . You don’t have any evidence that links your service with the disability you’re claiming people can tell you to get a Nexus letter, but the examiner you go before already said there’s nothing in your records that show it happened in service, so I don’t see what a Nexxus letter is going to do unless somebody just writes a BS You can appeal it, but realistically, it was probably the correct decision. What you need is a nexus letter (assuming you have nothing in your record to support your conditions Continental District - Locations - Veterans Affairs. However, I wen to my private doctor through Kaiser. That's the VA's job. Is the next step an HLR? Its ridiculous because they denied my first claim without even looking at my service treatment records and claimed that I had no STRs with any evidence of the claimed disabilities even though I did. HLR submitted October 2022, interview January 3rd, and I’ve been waiting for the VA to Hey, has anyone had problems getting a nexus letter from a VA doc recently? I got one in the past, but I was talking to a VSO last week about reopening a claim. Have ankle issues SC but not feet. Some claims they will only do a records review. They are free. and really, we need to stop using the term nexus letter within this world, a good letter is so much more than a 3 line nexus statement, it's an Independent Medical Opinion, and needs some time put into it. It is a stupid process but how it works, without spending your own $ on nexus letters the VA isn't going to accept anyway. So a month later I sent the VA all my meds , prescription cards and whatnot. It came back denied. VES said No "Nexus" Filed a supplemental claim on 3/12/23, got a awesome nexus opinion letter from my primary VA doctor. I did not have those the first time I filed, hence the supplemental. You can submit an 0995 and even a private nexus letter- but at that point, it really becomes one nexus letter vs. My evidence showed multiple prostrating attacks a month. I’ve always heard about these nexus letters and felt the VBA wouldn’t take them seriously but they’ve helped too many vets to discount. Bro they denied me and failed to address the 5 IMO’s I have on my claim. (Similar reason why I don't submit a personal statement with my first claim, but many here think you should. Get the Reddit app Scan this VA Disability Claims . This ain't a nexus letter. Plus the VA just sucks. One my GP'S (I have two, one at VA, one through community care) likes a good conservation and loves hockey. In the end the VA rater wrote a negative opinion stating my hip injuries were due to repetitive trauma. Need to appeal- sure. To say the least they were confused but I straightened it out. The most basic docs you should submit include: a copy of your DD214; Service medical records (if you have them, otherwise the VA will attempt to find them as the VA has a Duty to Assist you with your claim to gather evidence); "subsequent to service" medical treatment records from your non-VA provider if you have one and have received treatment for your claimed condition; claim Great advice, thanks. I had no idea about RFA. The VA then sent me on another c&p exam, told my situation again, resulted in approval. Then the Veteran get the big DENIED because he couldn't prove a nexus, stupid vet for It would depend on what condition you need a nexus letter for. That's not a nexus letter. I was denied flat feet on my initial claim. I guess. I was diagnosed with it and prescribed rx for it. Followed their instruction and refiled my migraines secondary to tinnitus. Request for application seems as right as anything. She started talking to me about PTSD benefits and the process. You just keep doing this until you win. Denied appealed, denied again. According to the VA, the person writing the IMO needs to have reviewed my C-file. In every instance where you are scheduled for a C&P and the examiner states less likely and you have a nexus letter stating more likely, your are going to be denied your claim. The VA can and does determine if those statements are good enough or not. The rater purposely look over all my evidence and gave me only a few sentences on why he/she denied my on everything I claimed which is weird. Nexus Letter Success Rates: While there is no exact success rate for VA disability claims with a Nexus Letter, a well-written Nexus Letter from a qualified medical expert can significantly improve approval chances, especially for cases involving secondary service connection or previous denials. My supplemental just came back with a denial and they didnt even look at or reference my private physicians Nexus letter in the evidence section. I am hopeful. When someone tells a veteran to chase down their own service records and medical records from their time in service. I got a C&P examiner who said there is no link to the two, and the neurologist who was treating me concurred. Has anyone applied for (and was successful with) a mental health claim SECONDARY to chronic pain, WITHOUT a nexus letter or IMO ? I recently got a major depressive disorder dx that I would like to service connect secondary to my already service connected pes planus w/ plantar fasciitis (50%) and tinnitus (10%). Many Veterans consider gathering the following additional evidence to improve your chances of approval depending on the specifics of the case. Sure some get rated by simply filing showing combat. Thus, they couldn't use my IMO that argued PTSD was Nexus letter For 1. I honestly think some of the day labor VA claims has occupying space have no earthly clue WTF the human anatomy is and how it works. McDonald, 13-0540 (2015), Tinnitus is a chronic and organic disease of the nervous system, and the Veteran may establish nexus with lay evidence with proof of continuity of symptomatology. Sent back to original c and p examiner and it says it is a records review no need to show up. a few months later my I've been waiting to file for migraine headaches secondary to TMJ, and am getting anxiety about having a "fully developed" claim. Supplemental Claim—provide new evidence to support a disability claim that was denied. Need help, long story short the VA is fighting tooth and nail to prevent me from getting a service connection for PTSD (2nd supplemental claim). Recently I was diagnosed by my neurosurgeon with the following things: Pain Cervical Radiculopathy Yea, I had claimed migraines/headaches as well. The answer to the OP: No, it is NOT a good nexus If I submitted a claim for Migraines secondary to Tinnitus without a nexus letter is that automatic denial most likely? I was armament systems loading missiles on F15's. Example: I have seen Mr. As far as Nexus's go, rather than trying to buy one from some teledoc, why not go to the VA doc, who will fwd u to VA neurology for the diagnosis. I wrote my own nexus letter tying my sleep apnea to three different service connected disabilities and referenced studies that showed the connection to each disability. You are claiming to have a combat injury and your BRIEF statement is needed to say you received XYZ injury on active duty in combat or 3 a condition such as migraines where your self report of frequency and severity is used to materially arrive at the rating. Watch Combat Craig on YouTube. " Standing alone,this is not. 38 CFR 3. I’m pretty sure Prestige and other nexus letter issuing mills have relationships with attorneys so I’m all for paying for one. I was thinking something like "Referred for. How can they deny it with supporting medical evidence? Locked post. I think it’ll be easy enough to get a nexus from my pcp or a podiatrist and do a supplemental claim. The trick about being an independent assessor, is to document on your letter that all relevant records were reviewedand to actually review those records and to provide them to the client to send in When someone tells a veteran to wait to file a claim. Step #1: Understand the Denial. I got denied for MH secondary to tinnitus and need to appeal. Veterans Dec 17, 2024 · Yes, a VA claim can be denied with a Nexus letter if the letter lacks specificity, or medical rationale, or is contradicted by other evidence. I can’t say I blame veterans for trying to get what they can. While a well-crafted nexus letter can significantly support your case, other factors and evidence also play a role Jan 2, 2025 · Dealing with VA Claim Denials and Appeals: Even with a strong Nexus Letter, claims may be denied due to gaps in treatment history, bad C&P exams, or errors. Now I have a C&P exam on the 8th of this month. . I would request a copy of your claims file (C-file) before you do anything on this one. Just keep in mind shin splints are a low Probably fast track to a not service connected. Nexus -- Is the current disability (#1) linked to the event in service (#2) (i. I recently had an appointment with a VA psychologist for PTSD. It seems to be a good letter. The veteran plans to use it soon. don't normally do them for free. My experience, I applied in 2009- tinnitus, ptsd, GERD, and headaches, no nexus. I then sent this doc over as new evidence. I got a private records review and then a nexus letter after they agreed. The turnaround time was about 2 weeks from the time I contacted him to receiving my nexus letters. Here are the 3 basic elements of every claim that VA needs to grant it: 1) Current diagnose or disability 2) An inservice event or injury 3) the 2 are medically related (nexus). The only time they are The veteran's doctor wrote the letter. If you get the denial letter then the VA has shown its hand. If your claim is denied, file a supplemental with the records showing you complained. Like all claims, diagnosis, in service event or secondary, and nexus link. If the VA did their job properly, nexus letter mills and claims sharks would have no place in the market, because VA doctors could fill out DBQs and write nexus statements then rate claims properly according to the regs. Not menieres but an example of what the VA sees and denies from a pay for play nexus. The OP questioned whether this is a "good nexus letter. Submitted everything last month, had a virtual C&P and now waiting for a decisoinn. But I had no idea how it applied to my claims that were not addressed in the denial letter. If you have a mental condition and need a nexus letter, the VA will typically not allow treating Psychologists write your Nexus letter as it is perceived as a conflict of interest. Appealing VA Decision How can I appeal my claim with no nexus letter. I had to get an MRI, nexus letters, and buddy letters to help for resubmitting my claim. Outside providers told me she wasn’t going to write one and none of my battles want to write me a statement (just leave me on read). Will update with results. I had normal feet upon entry and developed flat feet. It took a lot more research to realize that the examiner makes a determination on the nexus, and a nexus letter is just an optional tool to make the nexus more likely. Also, even though some claims with nexus between ptsd and osa were approved, lately Va is denying claims osa secondary to ptsd. I just got my letter from the VA yesterday. This is something you will have to include as a part of your claim. He says yes to "Nexus" he's linking it to my burn pit exposure, and chronic congestion with rhinitis. He explains why a fully developed claim is so important in the process. I filed for numbness and tingling in the arms and migraines secondary to cervical strain with no diagnosis or But with raters being so flip floppy, seems when they see a Nexus, it puts them more at ease. What the VA is asking for is a Nexus letter, Not entirely true. If the file shows an inservice event that appears could be related to the current diagnosis, then VA is obligated to provide a C&P exam to determine if the 2 related. I got a nexus letter from a podiatrist and submitted a supplemental claim. So i was advised to go to my doctors and ask for their medical opinion and to put it in writing, official letter head. Share Sort by: showing diagnosis, Prescription for CPAP, Nexus letter written by medical provider, and two medical journals pointing to a link between OSA This is going to come in handy, as I was just denied OSA, but granted 70% PTSD. Since you were denied, you’ll need to file Supplemental claims for the conditions that were denied. The VA service connected me at 30%for Major Depressive Disorder with Anxiety and ADD, My psychologist has diagnosed me with PTSD, due to what happened to me and he said he would write a Nexus letter for me but I'm still not sure - if you're willing to talk, and would like some mutual support, I would like to connect with you. Can Nexus letters help, absolutely. Thanks! So i have never been seen by a VA doctor for a nexus letter. The letter should explain I'm 20% for tinnitus and hearing loss and have a current diagnosis for depression and anxiety. File a 0996(HLR) then submit a 4138(Statement in Support of claim) with a detailed report of when you placed the nexus in your file and Attach the nexus with the The VA will establish the nexus by requesting medical opinions. Filed flat feet and was denied. 2021 - filed back injury as secondary to knee, denied but diagnosed with back injury 2022 - resubmitted claim as primary with other claims, but Va Referred me to supplemental claim due to prior denial. When the VA - (April 2022) Submitted Secondary Claim for OSA connected to MDD/Anxiety side effects. My claim was recently denied for Sleep Apnea secondary to my service connected Rhinitis and Sinus issues. Reapplied in 2019 for same issues, one at a time rather than one lump sum, got A Nexus for each, 90%, pending headaches / migraines. I wonder what my examiner messed up or forgot to do. I used Prestige Veteran Consulting for my Nexus letter. But plenty others get denied too. So I received my denial letter for chronic rhinitis/ chronic sinusitis today after filing last year once the pact act became law. 155 Van Gordon Street Lakewood, CO 80228 Mailing Address: P. It’s important to have your Nexus letter reviewed by a professional experienced in VA claims to Dec 7, 2024 · The VA requires a clear link between your current disability and your military service. Yesterday the VA approved the claim and rated for 50%. I've used Prestige Medical as well as Dr. They diagnosed conditions for me and even wrote in my blue button report that my conditions were aggravated or worsened by my other conditions so I claimed secondary. Last, and the most critical part of the claims is the NEXUS(es) - medical statement(s) giving rationale why your conditions/diagnoses are connected to your claimed in-service stressors, events, injuries. I submitted everything from sleep study, prescription for cpap, nexus letter IMO , and a completed DBQ. I am an Army combat Vet. As you can see, it discusses: The supporting evidence; Makes an evidence-based rationale; Provides a nexus opinion; And provides a space for the provider’s credentials; Figure 3. Without even reading your denial letter I can almost guarantee it's the classic "not service connected" excuse. Take advantage of a VA Claim Discovery Call with an Jan 2, 2025 · Summary of Key Points. My VA psychologist had also told me that she will write a Nexus letter VA sends you a letter asking for details, such as the letter about events that lead to PTSD or 2. I explained to the doctor how I have still having these issues. Finally am getting help. I have buddy statements, diagnosis, nexus letter from my VA MH provider, and a favorable IMO requested by the VA on my latest round. Doe at my office and have diagnosed him with hearing loss. The VA denied my L4-L5, L5-S1. By the way. Can the VA Deny a Claim with a Nexus letter? Yes, the VA can deny a claim despite submitting a nexus letter. In that claim I had a current diagnosis, a favorable opinion letter, and a study showing the correlation between lower leg injuries and hip injuries. The letter means the RO concedes: (1) a current disability, tinnitus and (2) an in-service event, high likelihood of noise exposure. Some conditions they want to see history. Submitted evidence linking to Was denied Sleep Apnea Secondary to my service connected 0% Rhinitis and Sinus on 3/2/23. Here are four steps to follow if you face a denied VA claim. This and poor medical records have been the problem. This is what the denial said: "Service connection may be granted for a disability which began in military service or was caused by some event or experience in service. All Stop, Que the money gif! Save the money / hassle of getting a Nexus letter if #1 happens If denied you can now use a Nexus letter as "New & relevant info" for a supplemental. I have GERD secondary to ptsd. He can claim aggravation since he had flat feet when joining. the VA and their Contractors are not working for your best interest. ) VA Disability Claims . - (September 2022) Supplemental Claim opened. I have CDs with images in there and then CDs with my C-File which has all my VA health records. Here is an example of a VA nexus letter. I've been denied Migraines yet again claiming they can't A well-written one will be on the long side (2-3 pages). I’ll 100% get a nexus letter and go from there. Same all my claims we closed except sleep apnea which was deferred. They also denied my claim, because of an improper IMO/Nexus Letter completed by a private company. I'd talk to your VSO for the specifics on how to go about it, but submit again specifically for migraine headaches secondary to whatever condition the nexus letter establishes a link to, or maybe request a higher level review since the nexus letter Migraines secondary to tinnitus are hard to link, one of the most denied claims even with a mountain of evidence, nexus, and diagnosis, IMO with PubMed studies linking the two, migraine buddy, treatment, and medicine. File a 0996(HLR) then submit a 4138(Statement in Support of claim) with a detailed report of when you placed the nexus in your file and Attach the nexus with the For my multi-condition claim, I wrote a letter for each claimed condition, detailing the origin (with specifics on locations, exposures, units assigned, etc. We’ll also explain the four things every good nexus letter needs. I thought nexus letters were the only way to show the nexus and all my claims would be denied. Go to the VA and you can build a case there and get It's not CUE at all. com. I grabbed my medical records and have pulled out about 10 different document pertaining to the diagnosis and treatment of the condition. Its says the reason for denial was "the condition did not occur in nor due to service". VA Disability Claims . You have indicated other documents that would support a claim but none of them relate to this letter. Nexus letters, like what people sometimes get on here, are generally for conditions that were previously denied if you only need a little bit of evidence to push you over the edge into service connection territory. I also got denied for the same reason of my diagnosed disability having no link to service. When the VA sits on a claim that is ready for decision. I used Jason for 3 of my claims. The Nexus letter given was top notch and after I submitted a PTSD claim, I received a rating from the VA for PTSD with no MH notes in my service treatment records. I hand that to the Dr I have asked for a Nexus letter, AFTER we have discussed the Nexus letter. I was at 30% for asthma and tried for Sleep Apnea with a Nexus letter and supporting NCBI July 10, 2021 denied. You need to know exactly what negative statements are in there. - (July 2022) Initial claim denied, zero evidence provided on my part. Writing it all up in 1 letter would suffice. I will say this it took from 10/2023 to 02/2024 to be rated. Example 2: Veteran claims eyesight deterioration due to exposure to gas and chemical tests during his two months of active duty in the Navy. Let Us Fight For Your Benefits! 1-888-477-2363 Menu Get A Free Case Evaluation especially when their claims Nov 13, 2023 · In this post, we’ll show you an example of a nexus letter for a VA disability claim. This is a problem I've had with the VA, basically they shit on the nexus until you have to go get a more thorough one. For the supplemental, diagnosis, nexus letter and buddy statements. I submitted 6 months of continuous treatment (VA), sumatriptan prescription, current diagnosis of migraines, 6 month migraine log, in my opinion fairly decent personal statement (no buddy letter), and a nexus letter from prestige. I used their nexus letter for a supplemental claim after they denied my back and knees are service related injuries. I appealed their decision and I submitted the private hospital records to the VA. That old mos list wont win a tinnitus claim. I go thru the highlights in the notebook and then get a Nexus letter a few weeks later. Supplemental submitted in November 2021 with a Nexus letter. You need a current diagnosis. As I read this, the denial is due to lack of an in-service event, and lack of a nexus connecting your current diagnosis to an in-service event. Presumptives, lay statements, Nexus letters, buddy statements are a gamble if you are solely relying on them. Honorably discharged in 2012. Can the VA still deny your claim with a Nexus letter, absolutely. You can try to connect to something else (like rhinitis/ sinusitis) or try to provide a A VA claim denied with a nexus letter often signals the need for more comprehensive evidence. My issue is I have no complaints or medical treatment while in. Dec 7, 2021 · If your VA claim was denied with a Nexus Letter, the first thing you should do is review your VA rating decision letter in detail, specifically, the section headers marked Oct 9, 2023 · 1. Also, just because its not listed in your medical records doesn't necessarily mean you cannot claim something. I already filed my intent to claim with a VSO in December. Im currently at 90%, the nexus also stated that the migraines were also connected to my gerd/ibs and my anxiety. Reply reply Get the Reddit app Scan this PTSD Claim Denial . Looking at the denial letter, the VA agrees that I was exposed to high levels of noise due to my MOS (Aviation electrician A-6's on the flightline) I also served on an aircraft Your psychiatrist can write up the Nexus letter, the VA just won't utilize a DBQ from an outside provider for a mental health condition. The meat and potatoes though to fight the denial is to look at the reason or reasons in the decision letter explaining why they denied the claim and carefully review the section where they list what evidence they used to make their decision (they tend to miss It says it was denied based on the medical opinion that provided by the VA examiner which stated that it was less likely than not proximately due to the result of my service connected PTSD. At best it triggers the duty to assist and get you a C&P. Will they help, possibly. No complaints or visits during service. They is your best bet. (something)". I filed a claim for MH and submitted two nexus letters and a DBQ (not form, just all the questions answered) by civilian psychologists along with a solid personal statement. Is the VA admitting she does have a disability but it's not service connected? Should she file an appeal or a new claim for the disabilities they found in QTC exam for PTSD? She included buddy Just got denied OSA secondary to PTSD today, had a nexus letter, sleep study with diagnosis and prescribed CPAP but was still denied, reason “The VA examiner opined that; The pathogenesis and mechanism of obstructive sleep apnea involves recurrent functional collapse of the pharyngeal airway during sleep, due to anatomical abnormalities and tissue changes of Good Morning y'all. It all ended up at 30% when it was done. WATCH: How VA Nexus Letters Can WIN Your VA Disability Claim! The 5 Statements of Likelihood for a VA Nexus Letter. Get a Nexus, Tinnitus Denial. After several consultations, I have determined that his activities firing weapons in the military was a significant factor in his hearing loss. , explaining why these denials occur and how to avoid them. Don't have to make it hard. If they didn't even mention the nexus letter or the other evidence, you could do a higher-level review and note that it was not taken into account. Smooze a little and ask them for their help with a nexus letter. If this was my denial and I lost the $1200 - I’d have lost my wife’s mind too. The VA took my self created nexus letter and within 3 months I had sleep apnea tied to one of my disabilities. O. Best advice I could give is to apply for conditions that relate to Gulf War Presumptive conditions ( if you deployed) and do a gulf war exam where you can bring up your migraines and make sure you let them know it’s a stand alone condition that isn’t caused by another service connected disability. He told me that the local hospital/benefits admin has told the doctors in my VAMC recently that "due to policy changes" they're no longer allowed to write them as it would be "a conflict of interest". I've not used VA insider for Navy nuke ELT vet and filed claims couple years ago. Many denials are later overturned on appeal Dec 17, 2024 · A VA claim denied with a nexus letter often signals the need for more comprehensive evidence. Even if you get a Nexus letter, the RVSR might not accept it or it may get entered into your claim incorrectly. I’m glad I was paying attention because I corrected it before my decision came. I'm fighting a flat feet claim right now too. These are the 3 things you must have in order to be Approved for a claim. (38 CFR 3. Some doctors are really nice people. etouu evjks wajcojo zujsdzuk kojn wqx djla heu tyyb cqfb