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    • One of 11 Items remanded to AMC
      I assume you are seeking SMC? If you give us the remand Docket number, it might be posted at the BVA site and maybe we could help understand this more.
    • Finally got my 100% for Malignant melanoma
      This is Great and John Dorle is fabulous!
    • DRO hearing
      "Am I correct to say they are just trying to low ball me severely knowing it would put me over the SMC and P&T threshold?" I would assume you are Correct. I had a hell of a fight over an obvious legal error regarding SMC. They even tried to get me to accept a regulation they made up. It didn't work. But the battle took over 6 years because they are illiterate. I had a P & T issue as well but had significant evidence for that award.Did Dr Bash state any rationale in the IMO that should have warranted P & T for the 100%?   "On the original decision the RO stated it was not diagnosed. This is wrong because they had in their hands Dr. Bash's IMO which showed the diagnosis then in 2013 whenever the VA Surgeon finally diagnosed it they still are denying me but the only reason they gave so far that it was not diagnosed." Since they had the IMO in their possession,that definitely appears to be a CUE under 38 CFR 4.6. Can you scan and attach here the reasons and Bases and Evidence list of the decision that prompted the denial?(Cover C file # prior to scanning)          
    • Raynaud's / Cold Injury Claim. Need Help
      For the recent poster: This is one of 1772 decisions at the BVA regarding service in Korea and Frostbite Some of this vet's STRs were missing but the remand shows what the VA is seeking, as to his treatment records: http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp16/Files1/1603109.txt Broncovet is right -maybe a mod here can move your questions into a new topic. Since most of the burned St Louis fire records involved USAF vets, the VA often sees USAF and goes no further than that to state the records were burned. They will need all of your treatment records for this condition.  
    • CLAIM COMPLETE--Frm 80% to 100% Comb Rtg
      That's what I would call an informative post. After you get the Official Award Letter, listing all the Evidence Reviewed, decide when the evidence supporting the increases was actually in your VMC records. As it stands now, looks like your Retro pay will be back to the 05/15 Effective Date. If your VMC Med Recds indicate an earlier date, get with a Seasoned VSO Rep at your RO and discuss an Immediate Official Review for CUE on the EED. May or may not work. You will still have till 02/01/2017 to file your NOD if needed but give the Review for CUE a couple months, can't really hurt. Using only the NOD, Filed Today, you'd be lucky to have a DRO Review Decision before early 2018, DRO Hearing 3+ yrs and BVA 4+. Use your above Award Letter to sign up for VMC Dental services at your 1st opportunity. If your State offers a 100% DAV Property Tax Exemption, file for it. There's another Letter on your E-Ben account that just says your 100%, without the breakdown of conditions. That letter will be sufficient for the State Property Tax Exemption. Last but not least, get your DOD ID Card from a nearby Military base. Apply for the FREE $10K VA Life Insurance policy and complete the application for your Wife's CHAMPVA. Wouldn't hurt to apply for the VA Independent Living Program, some great benefits are available, check it out. Semper Fi
    • Sleep Apnea Claim
      VA is reluctant to award Sleep apnea claims.  There are 2 keys, as I see it, to winning sleep apnea claims. 1.  Make sure you have all of the big 3.   Check your records, dont rely upon your memory of what happened, as doctors may have written down something different than what you think or may have not written anything at all, or your records could be missing, or shredded.  Big 3:  Current diagnosis of sleep apnea,  in service event or aggravation, and nexus or link between the previous 2.   2.  Be ready to appeal and persist until you win, with the applicable evidence.  This may mean you have to get an IME/IMO if your VA doc wont give you a statement connecting it to service.  It also probably means a long fight.       In my experience, VA will provide a CPAP machine even if your disorder is not service connected.  I got my CPAP at VA, and I have not yet gotten VA to concede that my apnea was secondary to depression, even tho my sleep doc said it was.  That is, I have a nexus, and a bogus denial.  Persistence wins when other stuff does not.  
    • Raynaud's / Cold Injury Claim. Need Help
      Jlirth     Based on what you posted, your decision is bogus.  If your disorder has symptoms of 2 or more diagnosis, then they do need to go with the one that benefits the Veteran the most.  You need to file a NOD disputing the percentage(s) relative to both diagnosis.      As Berta mentioned, "your records were destroyed in the 1972 fire" is often a bald faced lie.  How does VA know whether there was another copy of the records somewhere even if they had a witness who saw your records actually burn (unlikely) ?  Its actually a logic error trying to prove a universal negative.  Its like saying, "I lost my keys and they are nowhere on earth."   This is almost universally not true.  Your keys are SOMEWHERE, even tho you may have gone to great lengths to find them.  Sure, they could be in a landfill or could even have been melted down, but even then they are somewhere, even tho they may not be usefull in their present state.   More likely, your keys, just like your records, are in a place you have not thought of yet, or not searched thoroughly enough, sometimes do to laziness.       This is the first stage of VA's "3 card monte", where they hope you wont appeal.  In my case, they denied because it was "too long" since service.  The time since military service is not one of the criteria for hearing loss.  It was a bogus, made up criteria, by the rater to delay and deny, as is yours.       To overcome this, you need corroborating evidence.  Try to find the files yourself, dont rely on VA in their weak "duty to assist".   Even if you can not find the files, ever, its still possible to get SC.  Alex Graham, for example, suffered a GSW in Vietnam.  However, there apparently was no record he was in Vietnam, at least according to early VA denials.  I think how he proved he was in Vietnam was that he was sent TAD from Nam, if he was sent from Nam, then he had to be in Nam.  Alex can correct me if I had that wrong.  I think it was last year that Alex won benefits back to 1994, which was mucho wampum over a half million.        Many/most of the rest of us here on hadit are in a similar fight to overcome a bogus denial, or, have already done so.  
    • Raynaud's / Cold Injury Claim. Need Help
      Vern     Welcome to hadit.      Please "Start a new topic" and ask your own question in a new post.  This is to prevent the confusion which arises when we dont know if answers pertain to your question or original poster.   You will get more answers than having your question buried in someone elses post.  
    • Raynaud's / Cold Injury Claim. Need Help
      "No records from Korea and my full records were in the fire in 1972" If VA said they were destroyed in the St Louis fire, best to check that your self. Go to www.archives.gov - the NARA site, and fill out an SF 180 and follow their instructions. Keep a copy of the print out thing you need you sign and mail to where they direct you to. I have helped a few vets ,who were told by VA the same thing, to obtain their complete SMRs from NARA. Sometimes VA will state the fire etc etc but never attempt to even try to get the records. They stated this to  one vet I know personally who enlisted AFTER the fire. I assume your DD 214 shows overseas service. In that time period for Korean you can obtain weather reports on line for the day and night temps and hopefully you could narrow that down to exactly where you were at. I did this type of research for a thesis I did for AMU on the weather  at Normandy area , close to and during D Day.I found the actual reports on line independent of what reports Gen. Eisenhower and what Hitler had.Lots of time consuming research but well worth the effort for my grades in school. A good IMO doc needs to follow the IMO criteria here at hadit and also state that no post service experience (like living in Alaska etc) could have caused this disability. Would the doctor who diagnosed this condition you have be willing to do an IMO?          
    • Sleep Apnea Claim
      EODCMC,   Same here, just went to gathering evidence or as we like to call it gathering dust stage!!! First of all, was it a standard claim or a FDC so called fast claim? If it was a FDC (fast claim) then the expected wait time should be posted in the claim application. Probably around 6 months. Either way, this is usually the longest stage of the game, so sit back and relax and find a good hobby that will take your mind off this process. Many a vet including myself have driven themselves crazy by looking at ebenefits every hour expecting it to change. By what you are saying you should have no problem getting your claim approved but, you never know with the VA.  Anyway, Welcome to the HADIT Family!!!!  Spend some time researching stuff here and remember knowledge is power when it comes to the claim game!!!                                                                                    Silver

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justrluk

Ebenefits Shows Two Claims In "authorization" One In "administrative Review"

10 posts in this topic

I noticed this morning that changes happened to 3 claims marked "Closed" on eBenefits:

2 have a status of "Authorization Review" with no Appeal possible

1 has a status of "Administrative Review" with Appeal possible

I have one claim in Appeals which may represent one of these, but I can't tell from the document listing in the details. Does anyone know what this might mean???

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Has anyone had a chance to take a look at this?? I would really appreciate any feedback...

I noticed this morning that changes happened to 3 claims marked "Closed" on eBenefits:

2 have a status of "Authorization Review" with no Appeal possible

1 has a status of "Administrative Review" with Appeal possible

I have one claim in Appeals which may represent one of these, but I can't tell from the document listing in the details. Does anyone know what this might mean???

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I'm not able to offer any explanation, but I can tell you that you are not alone. Ebenefits appears to be a good idea that is still in development. I have asked questions like yours through IRIS and have received no good answers.

I have had claims go from development to authorization and back again within a couple of days on Ebenefits. When my IRIS was answered, they said that it was still a work in progress, and promised it will get better.

There is a separate item on the dashboard to get information on appeals. Appeals are not included with your claims.

I think it also depends on whether or not your VARO updates information regularly.

Edited by JustPLS

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Saw another claim move to the Decision Phase in eBenefits. They say on the site their average is +/- 28 days to notification. Let's see how they perform...

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Wish I could help but this ebenefits stuff is still Greek to me.

While I use and am authenticated by My Health evet I have not been able to get that set up on the ebenefits site.

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People, people, people -

Whether it's the 800 #, Iris, My HealtheVet or ebenefits -

we simply are still not going to be able to track each and every step of our claim issues.

It just isn't possible.

They would literally need to put a GPS device on our file and a log in device at each station,

to accept recognition of the GPS device.

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Noted - not hoping to track each and every step, but seeing some change in status does provide some hope that this issue is at least in motion Since my VSO seems to be MIA for the last month or so, it's the only contact I have with the system. True or not, it at least satisfies my OCD re: knowing where things are, and what I could be doing in support of the claim.

Edited by justrluk

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I don't think anyone expects to track a clam and certainally not by using iris, phone or ebenefits... However it would be wonderful if just once we could use these tools and receive acurate informaton concerning any claim in the system.

It seems the more options we are afforded, the less accurate the information is. I remember when you could call the 1800 number, and someone in your states regional office answered the phone, normally in most cases the information was accurate and the people on the other end were helpful.. Today, the folks at the 1800 number can't spell their own names,, ok so may be that is a little harsh, but they damn sure can't provide accurate information and it is proven time and again simply by calling more than once, and it is likely fhat for every call you make, you receive a different answer to the same question. Now as to iris, I guess it depends on rather the va employee can read English or not , I know the Houston office has a problem, because somehow the equate a request for a EED for my sinusitis as a new claim for allergic rhitinis, and my request to reinstate my 10% for hemorriods , (after a reduction, without any previous letter, or warning, ie no due process) as a new claim for hemorriods.....And when it comes to the ebenifits, well it isn't updated in real time, and the informatin that is provided is not always self explainable.. ie, authorizition review? what does that mean, or and what claim are they even talking about, what about the YES, appeal possible, is this a heads up that a claim was completed and disapproved and the va expects you to appeal.. If that is the case, why has it been over a month and still no letter.... Bottom line, the lack of communication between the veteran and the VA is a serious problem. In a perfect world, We should be able to pick up the phone and speak to a represenative in our own state about our claim....and this simply isn't possible and the only rason in my mind is that the va does not want us to contact them concerning our claims, because they don't want to be bothered.

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In my opinion, the real reason there can not be accurate tracking of claims

would be something like this:

Your claim is with the Rating Board (decision maker) awaiting a decision.

The decision maker now request additional development

on an issue - which could be many things such as some kind

of information requested from the claimant is not of record yet,

(a completed ROI form for private treatment or SSA records)

an additional C&P gets ordered or the decision maker feels the

C&P that was done is inadequate for rating purposes or the

examiner negated to provide an opinion.

Perhaps the pre-determination team did not send out a VCAA letter

and this still needs to be done.

This would apply to all the different teams / levels.

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I am not really sure the VA wants a vet to be able to see into the claims process. What would they find: mistakes, errors, delays, incompetence on vast level. As long as the process is in a black box we can't see it and know how bad the process. My initial claims usually look like a 6 year old did them when I get the rating back. My doctor can't understand it. I can't understand it, and my lawyer can't understand how they got the end product.

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