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Showing results for tags 'claim'.
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Hi All - I am new to the community, just found you guys a few days ago, because I had concerns about my initial claims process. My question is: Which is better - telling the VA to pull my records, or give them the records and letters I have or will get? It has been eight years since I separated, and because of my mental health condition (depression, PTSD symptoms, anxiety) and just trying to fit into civilian life, I have been unable to begin my claims process. With the help of friends and family, I have now been able to do things like go through my military records (diff -
I have been dealing with a rep from the state of TN, who has been working with me after my first Total Knee Replacement. This was in 2018. I have since had 2 revision surgeries on the SAME KNEE due to the implant loosening. 2nd claim for the temp 100% went well. When I sent him all the paperwork THIS year, he filed all the current paperwork EXCEPT the actual comp form from my community care doc. He sent the 2019 form instead of the one from this year, so my claim is all screwed up!!! I attempted to contact this rep, and either due to COVID or just him being lazy, he has not responded to e -
Hello everyone, Happy labors day to all, so my question was i my current disability is rated at 50% since last years, since then i haven't seen any improvement myself, I haven't work much or able to keep a stable job, my last job was at home depot for prob 2 months as a greeters around the end of 2019, I just submit all my disability for an increase on may 2020 and my case just close on September 3rd 2020, when to only 1 C&P exam where the doctor just ask me about my injury and how it feel about it, if i pull any muscle or tears any thing, i told the doctor it just hurt when walk or s
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Denied Claim Submission
gumba88 posted a question in Eligibility - Veterans Compensation Benefit Claims
I was wondering if anyone else has experienced this, but I have email chains with a veterans claim representative where they refused to SUBMIT my claim because they said it would not be something I could claim. I ended up submitting my claim myself, then submitting to higher level review and it looks like my claim is getting approved. If I had not been tenacious and listened to the VA rep that wouldn't even submit my claim, I'd be out thousands in backpay and a rating. Has anyone experienced having the VA refuse to file the claim? I started thinking about how many vets this could have happ -
Anybody ever have a new claim disappear off of eBenefits completely? I filed a new one based on information received from my SMR's when I received them from the National Personnel Records Center. The VA was supposed to have retrieved them under the VCAA, but they were never in my C-FILE, so I obtained them myself and filed them with the VA. I filed the new compensation claim in August, 2014, and it has been sitting on idle in Under Review for several months until a couple of days ago, when it disappeared completely. All other claims and information is still there. Anybody have this happ
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I received a VA rating early last year for tinnitus and hearing loss. I recently started another claim for back pain, PES Planus(flat feet) and a ankle injury. I have proof in my service medical chart of a back injury on 2 occasion. Plus during the second visit it's document that my pain was continuous for the previous 6 months. The arch of my feet were recorded as normal during my first enlistment. When I reenlisted in the Army after being out of USMC for 4 months i recieced a entrance medical exam. In that entrance medical exam it's documented that i have flat feet. Lastly my ank -
I received a VA rating early last year for tinnitus and hearing loss. I recently started another claim for back pain, PES Planus(flat feet) and a ankle injury. I have proof in my service medical chart of a back injury on 2 occasion. Plus during the second visit it's document that my pain was continuous for the previous 6 months. The arch of my feet were recorded as normal during my first enlistment. When I reenlisted in the Army after being out of USMC for 4 months i recieced a entrance medical exam. In that entrance medical exam it's documented that i have flat feet. Lastly my ank
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Hi there, Recently actually yesterday the 21st of February the VA gave me notice that my supplemental claim had been decided and that they had sent out the letter that morning as well (meaning the decision was actually made on the 20th). This of course prompted me to check Ebenefits, where I saw no change in my rating. I'm currently rated at 40% for other issues. And in the past Ebenefits updated almost instantly leading me to believe that this supplemental claim was denied. I originally submitted my Epilepsy claim back in august, it was denied about 4 months later -
C&P Dr Recommendation vs Rater
Jash posted a question in VA Disability Compensation Benefits Claims Research Forum
I’ve done the VA claim-bit on my own. I don’t know if this is a mistake or not. I went to a c&p exam recently. I left somewhat confused. I never had a doctor tell me directly that she was recommending an increase as well as IU. She said though it was ultimately up to the rater. I don’t have her report because 30 days has not passed. I was at 50% for ptsd and 10% hearing loss. During the appointment the c&p doctor quoted a couple other reports where VA doctors I’ve seen at various clinics said that I had “long term, chronic and severe...” (Don’t want to get into the what). I find -
Higher level review TDIU
Mikeoif posted a question in VA Disability Compensation Benefits Claims Research Forum
I filed for tdiu and ptsd claim in Oct of 18, I didn't have all my medical files lined up and was given service connection for unspecified anxiety at 30% in March 19, and denied tdiu for failed scheduled rating needed and they mentioned that I had work experince and helped for a year with my niece , weird mention in the paperwork for why tdiu was denied but whatever. So I filed supplemental claim in april and had a highly regarded univeristy brain department and psychiatrist department diagnosis me for ptsd as a referral from the VA. So boom got another c&p in June and was given 70 % ratin -
Yesterday my claim moved to Prep for decision, this was a week after my latest C&P, I was feeling optimistic that the estimated completion date of 9/4 was reasonable. Today it moved back to review of evidence and my date oushed to 9/14. This is a claim with 1 increase, 2 new, 2 secondary. I filed my claim 9/24/18 it seems like a long time for a claim. Anyway, my question is: have any of you had the claim move from "prep for Decision" only to regress to review of evidence? If so, what was the timeline like?
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Presumption of Soundness
RBrogen posted a question in VA Disability Compensation Benefits Claims Research Forum
Hello Everyone, I wanted to put a situation out to you all and get your feedback as it would relate to a potential presumption of soundess cue claim. Back story: 1983 - In high school I tried out for varsity football (note I am 5'5" and 135lbs at that time) so I could have some level of social life. First day of practice a kid ran into my left side and hurt my knee. I DID NOT seek medical attention, never went to the doctor and was fine the next day (though I did decide not to try out for football any longer). Fast Forward: 1985 - I joined the Army National Guard and NO MEDI -
How much does a VSO see?
Kihr posted a question in VA Disability Compensation Benefits Claims Research Forum
How much can they see, how much can they tell me? I seem to get almost nothing but cryptic information from my VSO. Are they restricted from telling information to me while the claim is not yet complete? Or is it possible that she withholds the information having been burned by changes in the past? -
I am a little confused, I have "psoriatic arthritis, also claimed as back condition" as my current and only rated condition 20%, which was from my initial claim 10 years ago. They were submitted as 2 different items, "back pain" & "psoriatic arthritis" but combined. Anyway, I submitted a claim in september for an increase to my P.A. and a few other new claims related to tgr P.A. and had C&Ps in November. I have been waiting ever since with no updates, denials, deferrals, granted claims etc. Last week I get a call for a contractor exam about my back. I was a bit confused, about why
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"Awaiting Adjudication"
Kihr posted a question in VA Disability Compensation Benefits Claims Research Forum
I submitted my claim 9/24, I had the C&P exams on 11/6, and I am still waiting. I talked to my VSO today and she said I was "Awaiting adjudication" and that it could be several more months and I may need more exams. I know the VA is a long process, but it has been 10 months already and I am not sure what "awaiting adjudication" means. The VSO seemed a little annoyed, I call about 1 time a month, it just is frustrating. I don't know why a claim should take 10 months, I know I have read about appeals taking years so I shouldn't complain. I just feel that 10 months is an unreasonable amo -
supplemental claim for reconsideration of rating /TDIU
mikeriggs posted a question in TDIU Unemployability Claims
I filed a claim in october of 2018 for ptsd and TDIU, long story short I tried to do everything myself and didn't have the proper diagnosis so I was service connected for anxiety based on having a medical marijuana card diagnosis for anxiety but the rating was 30% and I much worse off then that. So I obtained a referral from the va to a fancy psychiatrist from the university of north florida's behavior health department and was diagnosed with ptsd, bi polar 1 and panic disorder. I used this new medical evidence as my supplemental claim evidence and filed it April 16, 2019 after receiving my le -
Hello everyone and thank you for accepting me in to the forum. Last year I filed a new claim for Generalized Anxiety Disorder and Major Depression. For the past 3 years, I have been seeing a civilian psychiatrist for my anxiety and depression. She had already diagnosed me with GAD and Major Depression, and I have been on anti-anxiety medications, antidepressants, and sleep medication. I was on differing types of the same medications since coming out of the service, but it wasn't until about 3 years ago, that I admitted to myself that I needed mental help, and that is when I started seein -
Please, welcome new VET2VET podcast episode: https://youtu.be/waV5t0HPtbM Today we are joined by Thomas Wendel, DAV National area supervisor for West Cost Region. Thomas E. Wendel served in the U. S. Marine Corps from 1983 until 1997. Since 1999, Tom has worked assisting veterans in processing various entitlement claims on the local, state and federal levels; first in Clare County as a county service officer and then when he came to work for the Disabled American Veterans in 2000. In 2008 he was promoted to the position of supervisor of the DAV Service Office in Detroit and later
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C&P Exam PTSD:MST Eating Disorder.pdf ^^^^^^Well the attached report indicates to me a 10% PTSD rating. I am currently 30% and I do not understand how this happened but I might be in for a reduction. I thought the exam went well. I had a PTSD and Eating Disorder C&P. Regarding the occupational/social impairment she checked the one that resembles 10% and for "b" she marks YES and goes on to say my trauma impacts my occupational/social impairment. Look at the symptoms she notes: Anxiety; Panic Attacks more than once a week; Chronic sleep impairment; difficulty in -
Almost Ready to File a Claim
MarkP posted a question in VA Disability Compensation Benefits Claims Research Forum
Well I've read up on as much as I can possibly read up on regarding filing a VA claim. Been to all the sites, watched numerous online videos, got my IME letter from my oncologist, drafted out my VA Form 21-526EZ, and am still proof reading my final draft cover letter. I'm hesitant to start the process and hoping that I have everything that will be required to jump into this challenge! -
claim Reopening a PTSD claim
bc0311 posted a question in VA Disability Compensation Benefits Claims Research Forum
I'm new to this site, and somewhat novice with claims as I've ignored them since my discharge in 2012, but I have some questions that I've yet to find answers for that hopefully someone can help me with: In a nutshell, my story is I did my four years, two hellish combat tours to Afghan, got out in 2012, immediately filed my claims for a few disabilities like back and shoulder issues and got a 40% rating total. I've since not looked back as none of that concerns me. My issue now is that I was sent to a mandatory PTSD screening during one of my visits that year, and the examiner kind of wen -
I am the sole caretaker for my spouse which makes it extremely difficult to leave and go to a VA facility to file my claim. When I registered for Ebenefits it says I have to have a Premium Account but I cannot just leave for the in person verification. It is imperative that I get benefits because of recent health status and also the full time care my wife will need if/when I need a treatment plan. Can somebody direct me on how to get VA Form 21-526 filled out and also to obtain my C File? I have a portion of my medical record frm my time in service in the Army from 1972-1976.
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Hi. Should I (does anyone??) write a timeline about my claim? Like a one page timeline or outline or my history. Example: I just sent in my Social Security Disablilty paperwork for my claim because my SSD was approved due to my damage to my lower spine(posted a few days ago) the judge approved it. I was in Voc rehab 9/2008-4/2009 withdrew from college due to physical/mental meltdown then again went back 9/2010-5-2011 and again had to withdraw because I physically and mentally crashed( I was approved to the National Honor Society). I was approved for SSD 11/23/2009 and I figured if I wrote
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My is I filed for Increase on my Service Connected Disabilities. Service Connected Disabilities: Osteoarthritis Left Knee: 10% Osteoarthritis Right Knee: 10% Depressive Disorder: 70% Claim: Increase Osteoarthritis Left Knee: Reason for Increase 1) Total Left Knee Replacement: A) Temporary Total Disability B) Umemployability Secondary (New): A) Hip Condition B) Back Condition Increase Osteoarthritis Right Knee: Reason for increase Secondary (New): A) Hip Condition B) Back Con -
ptsd In the Trenches.....against our own people
Inarticulate&Distorted posted a topic in Success Stories
To list the many many Tags would have been ludicrous. My case is relatively new. I joined here last year, this place has always been great to calm burned out nerves. I sometimes don't make sense to myself let alone anyone else. But when I got out, I went tearing away from anything and everything that even REMOTELY resembled authority. People being able to control my life terrified me to the point where it has literally affected every single part of my life. I came here seeking help and I got it. So, if my story can help anyone else, and my opinions on what you can do to help your own Battle, b- 20 replies
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