Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Inextricably Intertwind Claims

Rate this question


Rockhound

Question

Currently I am working on a claim for submission, however, it appears that the two claims may be so inextricably intertwind that I can not submit one with the other. One claim is to SC a cerebral concussion/TBI and it's residuals, but by doing so it would rebutt a previous decision where by the VA used PD diagnosis to find a previous psychiactric disorder diagnosis in error and replacing with the PD and then denying the claim.

This involves either the VA calling cue on themselves, which I don't believe they will do, or for me to pursue the error myself. This error occured back in 1974 and I do not want to possibly mess with anything that would be in the way of an EED on the psychiatric disorder.

To present the SC of the cerebral concussion/TBI and its residuals, there appears to be no way not to bring attention to the prior error. This brings me to my question, "do I submit them both in the same claim or do I seperate the error part in a CUE claim, for which I can not use any of the current evidence without loosing the EED, but in the same turn, I might loose the CUE claim with the evidence I had back in 1974.

Your help, suggestions, and comments are appreciated.

Rockhound Rider :blink::unsure:

Are you a paranoid schizophrenic

if the ones you think are out to

get you, really are?

Link to comment
Share on other sites

  • Answers 9
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • Moderator

Rock

IMHO file two claims, not one. Reason: If EITHER rules in your favor, you win.

I like to set yourself up for success, so try to think of a way to "divide" your issues, in such a way that

you win if you win EITHER claim.

Its like playing poker..if you get dealt a very Bad hand, then ask for a "new deal"..you may get a better one.

Remember, that even if you get one of your claims denied, the dealer will have to show his cards,(Reasons for decision) so you will know what to play the next round. Those "reasons for decisions" may just help you out in winning your second claim.

Edited by broncovet
Link to comment
Share on other sites

Anybody else want to post their opinion? If I submit two seperate claims, wouldn't this slow the claims process down as my C-File is sent back and forth to two different Raters? If I wait till one is decided, and they deny it, then I have to spend time NOD'ing it and possibly a DRO hearing, or going onto the BVA. All the while the second claim waits to be filed so it doesn't slow down the first one.

It seems more productive to submit them together and show how one, if approved affects the other one. As far as I can tell, in order for the evidence to help in the second claim, the first has to be approved. Comfusing isn't it.

Rockhound Rider :D :unsure:

Are you a paranoid schizophrenic

if the ones you think are out to

get you, really are?

Link to comment
Share on other sites

Bump: Would like more input than just one. Any discussion with your logic would be most appreciated.

Rockhound Rider :D :unsure:

Rock

IMHO file two claims, not one. Reason: If EITHER rules in your favor, you win.

I like to set yourself up for success, so try to think of a way to "divide" your issues, in such a way that

you win if you win EITHER claim.

Its like playing poker..if you get dealt a very Bad hand, then ask for a "new deal"..you may get a better one.

Remember, that even if you get one of your claims denied, the dealer will have to show his cards,(Reasons for decision) so you will know what to play the next round. Those "reasons for decisions" may just help you out in winning your second claim.

Are you a paranoid schizophrenic

if the ones you think are out to

get you, really are?

Link to comment
Share on other sites

I will be reopening asthma and ptsd claims once my current issue is adjudicated. Because of the way my late vet was taken down in the jungle by tear gas while suffering from chronic asthma, the intertwining of the two issues is probably similar to yours. In his case, since he was found to be 50% sc ptsd 6 months before he died, I will be proving that the earlier filing for ptsd should have been granted, as his asthma claim should have been.

I will still be claiming two maladies, even though they happened simultaneously.

"Do one thing every day that scares you." Eleanor Roosevelt

Link to comment
Share on other sites

  • HadIt.com Elder

x

x

x

Please bear in mind this legal Precedent. IMO, locate the Deshotel decision, and read it) ...

In Deshotel, the Federal Circuit held that a claim is "deemed denied" by the RO when a claimant files more than one claim at the same time and the RO explicitly denies one of the claims but fails to specifically address the other claim. Deshotel, supra. The holding in Deshotel is limited to RO adjudications and it is clear that the decision does not apply to decisions by the Board.

Deshotel v. Nicholson, 457 F.3d 1258, 1261 (Fed. Cir. 2006),

USAF 1980-1986, 70% SC PTSD, 100% TDIU (P&T)

Link to comment
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


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use