Ad free subscription.


This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File




  • Topics

  • Forum Statistics

    • Total Topics
      60,121
    • Total Posts
      388,117
  • Topics

  • Posts

    • Completed Claim
      I've been following my claims process through EBenefits. My claim status says completed however its been 3.5 weeks and still have not received my  determination letter. Since I'm extremely familiar with the process due to previous completed claims my determination letter were at my residence within 7-10 days. Since its been 2 years in the making and a prod from my congressman I deserve the written decision now!
    • What Protections come from being P&T?
      Did some research and found the following information. I going to post it for those who are also interested in this topic What is a Permanent & Total rating? In the language of your VA, the word permanent does not mean that your benefit is permanent! To have a 100% P & T rating only implies that your dependents are eligible for benefits like DEA & CHAMPVA. Your rating is NOT protected! There is but one way to achieve a "protected" rating...you must hold it uninterrupted for 20 years. Until you've held the rating for 20 years VA may contact you at any time to evaluate (and lower) your rating. How do you know if your rating is temporary or permanent? You go to your original award letter and look for the secret codes VA likes to use to confuse you. If your award letter says "No future exams are scheduled..." that means that your rating is permanent. If you see "Eligibility to dependents Chapter 35 DEA / CHAMPVA are established", your rating is permanent. Those phrases may differ from one VA Regional Office (VARO) to the next but there should be something similar on your award letter. If you see "Future exams are scheduled" or similar, or no reference at all to future exams or other dependents benefits, your award is probably temporary. VA establishes the rating as permanent when there is little chance that the condition will improve. VA makes a lot of mistakes when establishing the permanence of a rating. It's up to you to know what to do...nobody will do this for you. As a rule, most mental health conditions and cancers will be temporary ratings. A veteran must hold a 100% permanent rating for 10 years, uninterrupted, for his/her family to be eligible to apply for DIC benefits should the veteran die of anything other than a service connected condition
    • Read First If Getting An Imo
      bumping it up... again...I had to use Google to find it.
    • Denied Sleep Apnea Claim
      As long as the IMO conformed to the IMO criteria here at hadit, the IMO could be OK. But maybe not enough. Have you attempted to contact any buddy who was in your unit and bunked with you in the Mil? Fatigue---did this ever show up for any disciplinary actions because you were late for duty or too tired in the job? That stuff can be found in the 201 Personnel file the Mil has on every service person.  He did refer from what I understand here, to your SMRs.What type of doctor did the IMO? Did they attach a CV or at least a rendition of their expertise?
    • Should I file a CUE or leave NOD in place?
      I have reposted this because originally I had posted it under someone else's question and I was asked to repost under a new topic.  Simply because I might get more answers and also there might be other VETs out there with a similar situation who could benefit from the advice given.  I hope I am not repeating someone else's question.  This is not at all easy to understand.  So I'll just ask.  I was discharged in 1984 from the Navy.  I had married an active duty Navy enlisted and so my health care was still at the same base I was discharged from.  After 3 months post discharge the Doctor that was handling my health care suggested I file a claim for Asthma service connected.  Because when I joined the Service in 1980 I did not have Asthma but when I was discharged I was being treated for Asthma.  So I filed the Claim in December if 1984.  I was discharged the last day of March 1984.  And my discharge was honorable so no problem there.  The initial claim was that I filed was for Bronchial Asthma service connected. and it was denied in 1985. I didn't appeal it because back then I didn't know anything about appealing the denial and just figured that was it.  The denial stated THE EVIDENCE DOES NOT ESTABLISH SERVICE CONNECTION FOR THE FOLLOWING BRONCHIAL ASTHMA DUE TO ALLERGY.  Bronchial Asthma denied. (Funny that is what causes Asthma Allergies.  but god knows I grew up on a farm and never had any problems with allergies at least not so much as to cause me a problem with breathing.  And I had never been diagnosed with any allergies either before entering the service.)  Anyway time passed and I forgot all about this claim.  in 1997 I began receiving SSDI and part of my disability was the Asthma and by then I also had COPD.  More time passed and in 2014 the VSO in the town I live in suggested I file a claim with the VA for service connected disability for asthma. So I did.  And after again submitting to PFTs done by the VA I was approved at 60%.  Now I would never have questioned anything after that except that when I filed for the COPD and a few other items I was told that my representative was the DAV.  And I asked why was the DAV my representative and who in the DAV was.  And I was told told that back in 1984 I picked the DAV to represent me.  And I said "  I did???  Why would I do that?  and that response was "because you filed a claim back then.  That was when I thought SHIT I need to get a copy of all my records.  SO I finally did and that is when I learned and remember filing that claim.    So Here is my question.  Since Nothing except the severity of the Asthma has changed since 1984.  Would that initial claim be a CUE?   Wouldn't it be right to file a CUE regarding that claim so that the effective date of the current claim would date back to 1984?   Currently I have a NOD filed regarding the effective date.  But I really feel it is a CUE.  Is that right or not?    And if someone does answer this could you answer like you are explain this shit to a two year old!!!! LMAO  because All of this is just so Damn confusing to me!!!    Thanks a lot,       I was asked to scan and post some VA C&P reports and I will do that as soon as I get back from meeting with my Local Congressman.  I will keep you all in mind as I ask him about doing the back up of VET Appeals!!! And other Veteran topics!!!  Aileen
    • Social Security disability
      Only you can decide what is best for you bud. I get SSDI along with my 100% VA P&T, and I am only 34. I get where you are coming from and as Vets we Deserve every Dollar and Benefit that we worked hard for. Problem is with some Retirements or Pensions they start to work against each other. The Govt likes to refer to it as (Double Dipping). Just sit down read the Regs and do the math. If it is worth it for you, then go apply Online or at local SSA office on your own. My brother used a lawyer and it took him almost over 2 years to get SSDI. I filed on my own online, and was approve in less then 8 wks which is unheard of in Texas. Good luck and keep us posted. God Bless
    • What Protections come from being P&T?
      Thanks, This gives me a better understanding of this topic.
    • What Protections come from being P&T?
      Sorry to say that there is no protection. I am 100% P&T with no Future exams since last year. Well in February out of no where a Claim showed up on Ebenefits that said New for a SC condition that I have currently at 40%. Local VA called  me in for a Review Exam the following week. The Exam was not too comfortable thats for sure. Well this week the claim went to Complete, but my SC Disabilities %s did not change, and my AB8 letter still states 100% P&T. I think that the VA was trying to pull a fast one on me, as I am only 34 yrs old, yet I am Medically Retired from the Navy, and Permanent SSDI disabled. Always and I Mean Always keep up with your treatment, and never get too comfortable bud.
    • What Protections come from being P&T?
      When a veteran gets P & T, VA is not likely to reduce his/her combined rating. P & T is the same for shcedular and TDIU it's benefits for a veterans dependents and medical care. There is no real protection until a rating hits 20 years. Here are the other benefits http://www.vba.va.gov/pubs/forms/VBA-21-8760-ARE.pdf
    • Howell criteria for SMC S.
      As Alex succinctly pointed out with his review of Howell, SMC S (housebound) is not meant JUST for Vets who can not leave the home "at all" but also for those who can not leave the home "for work".   https://asknod.org/2014/08/25/cavc-howell-v-nicholson-what-smc-s-really-says/ But, you need to recognize the implications of Howell.  This suggests if you are 100 percent and not working, you should get SMC S, because, if you are not working then you are not leaving the home "for work".   Im currently in appeal for this very issue.  Im not alleging I dont leave the home "at all" but that I dont leave the home "for work" as congress intended.  Remember, the SCOTUS has ruled when the intent of congress is determined that is the end of the matter.  In other words, the laws are not always clear, but when congressional "intent" is determined, then that is the way the Supreme Court will rule..."congress intent" And, in reference to Howell, the judge specifically stated that congress intent was to have SMC S not just for Vets who cant leave the home at all, but for Vets who can not leave the home "for work. Once you add the Howell criteria for SMC S, then I think many more vets will be eligible for SMC S...all of them that are not working..since they can not leave the home for work if they are not working.    

  • HadIt.com Veteran to Veteran providing FREE information and community to veterans since 1997.

    I am proud that I've been able to offer all that HadIt.com has for free for 19 years and continue to do so. HadIt.com does accept contributions to help with costs we also offer paid ad free subscriptions. None of the paid options are required. The forum, the website, news site and podcast are free and will remain so. If you choose to support the site with a contribution or a subscription it is appreciated but never required. If you choose to make a contribution or purchase an ad free subscription, you can do so here. 

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???

Share this post


Link to post
Share on other sites







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???

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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...

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now