Hello Buck
Thanks for your reply, I was recently (8/30/2019) service connected for sleep apnea by the BVA, after 7 years.
All current items denied are secondary to sleep apnea, info supplied was nexus letter IMO from the same Dr. for sleep apnea listing all items claimed as secondary with explanations for ea. specialist in sleep medicine PHD. from Harvard with over 30 yrs. experience.
also setup the first sleep testing center in Calif. for military personnel, astronauts, fighter pilots, etc.
these secondary items were all submitted after BVA approval for sleep apnea as secondary, sent to VES for several C & P's
Once denied, I requested DRO Review in April, in July I received a call from Minn. office saying I requested a call when sent in DRO request my claim was originally sent to Phila., then I received a letter from VES for review records only.
I am not sure why A Nurse Practitioner with VES would be reviewing.