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

Claim Processing Timelines

Rate this question


jsdwd

Question

I am a newbie to the VA system and have claims being processed. So far it's been about 8 months since I originally filed. I have had my C & P exams (saw the psych PTSD report - GAF 45, she said I am unable to work due to PTSD and fit the DSMIV guidelines - I should get rated, but no one seems to know what the ballpark percentage is. I've ad estimates from 30% to 80% or TDIU). I have also a hearing claim and an Agent Orange/Diabetes claim. All exams are done and, according to IRIS, my claim went before the rating board on 5/15. If It weren't for hadit.com I would know nothing. My VSO (county) basically says, 'wait your turn', 'I don't know' and 'you are too nervous, leave me alone'. He has done nothing for me.

Is there anywhere a step by step guideline (flowchart) of the processing of claims? The self-help guide was great, but not complete. And (the big question) are there approximate times associated with the processing at each step? Someone must know this. It is child'splay to put travelers on a sample of claims and calculate the average time each step takes.

What has struck me throughout is the almost complete lack of information about the process itself. The standard answer to virtually every question I've asked the VA or VSO or VRO is "I don't know." I don't think it has to be that way. Keeping track of paperwork is not rocket science.

Is anyone aware of efforts in this regard or reports about this sort of thing?

Thanks.

Link to comment
Share on other sites

  • Answers 21
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

If the SS is solely for service connectable issues then it will be a big asset.

The VA does not have a so called time line for claims processing. They work mostly in bulk. The bulk being controlled by filing date.

They doi have a procedure that is listed in the M21. It would take a hard search to find it but it can be done as the search parameters would give you 10 000 files.

Now if a rater has a complex claim and has to ask for more information and ect then he will pick up a claim that is less complex and those tend to get a quicker rating.

Things to be aware of is a lowball rating for the first one. ( I have seen it happen to a Hadit Member in your exact same shoes)

Go ahead and submit the IU paperwork and file a claim for it if you have not already.

Good luck and keep us posted.

With our claim they haven't yet to this day regarded that mrvet has been on SSD since 03' for PTSD- and an NSC pension for bladder- the VA already admitted PTSD-verified stressors and yet we are in 11 years are at the BVA "expeditious remand " level since Jan 7th they were supoosed to schedule 2 further CP exams at the BVAs request-which that hasn't happened -there was a conflict between the 2 IMOS and the CP PTSD exam(go figure) even though they already have stated in their SSOC "the finds you have been diagnosed with PTSD-that was in 05'-in 06' they verifed stressors-which they had since 04'-but didnt bother to look- and now a new letter tells us after the BVA there is a 150 day "special handling period" for the c-file-but the VCAA notice says you have 30 days to submit new evidence-but yet you have a year also(conflict) so in my math the BVA takes a year to even expedite it back to the RO-to schedule another CP exam!

J

Link to comment
Share on other sites

  • HadIt.com Elder

"I haven't 'dumped' the county VSO (who would replace him?) but I don't rely on him for anything other than annoyance. No point in being too vocal about criticizing him, I don't think I need any enemies..."

Any of your local veteran's service organizations, i.e., the VFW (Veterans of Foreign Wars), the DAV (Disabled American Veterans), the VVA (Vietnam Veterans Association), American Legion, etc.......................heck, you might even try the JWV (Jewish War Veterans of the USA) ;)

Any VSO (veteran's service organization) is required to help you, and NO you do not have to be a member of any of these organizations.

If ya want to find someone that will really help you, just go down to the VFW/American Legion, belly up to the bar and ask whoever may be tending bar who HE'D use. Simple method, but it works. :huh:

"It is cold and we have no blankets.

The little children are freezing to death.

My people, some of them, have run away to the hills, and have no blankets, no food; no one knows where they are-perhaps freezing to death.

I want to have time to look for my children and see how many of them I can find.

Maybe I shall find them among the dead.

Hear me, my chiefs! I am tired; my heart is sick and sad.

From where the sun now stands, I will fight no more forever."

Chief Joseph

Link to comment
Share on other sites

"I haven't 'dumped' the county VSO (who would replace him?) but I don't rely on him for anything other than annoyance. No point in being too vocal about criticizing him, I don't think I need any enemies..."

You would replace him -- suit yourself, but personally, I would never give my POA to a VSO in whom I have no faith. These guys either hurt you or help you, but very seldom don't matter one way or the other. You sound like a very smart guy, so why delegate such an important matter to someone who is either unwilling or unable to invest himself in pursuing the success you deserve? Many of us here handle our own claims (or as in my case, our spouse's or other family member's claims, as well as people we know who just need some help).

I'm just encouraging you to think about how much or how little you trust this person to handle a task that you may be able to handle yourself. We're here to help you.

You raise a good point. I have received much more useful information and guidance from this site than from the VSO. It's just that when I initially got involved in this everything I read said, "Don't try to do this alone, get a VSO to help". But this guy is useless (or worse) so what you say makes sense.

Link to comment
Share on other sites

"I haven't 'dumped' the county VSO (who would replace him?) but I don't rely on him for anything other than annoyance. No point in being too vocal about criticizing him, I don't think I need any enemies..."

Any of your local veteran's service organizations, i.e., the VFW (Veterans of Foreign Wars), the DAV (Disabled American Veterans), the VVA (Vietnam Veterans Association), American Legion, etc.......................heck, you might even try the JWV (Jewish War Veterans of the USA) B)

Any VSO (veteran's service organization) is required to help you, and NO you do not have to be a member of any of these organizations.

If ya want to find someone that will really help you, just go down to the VFW/American Legion, belly up to the bar and ask whoever may be tending bar who HE'D use. Simple method, but it works. :D

I had thought of that and I think I'll follow up on your good advice. Thx.

Link to comment
Share on other sites

  • HadIt.com Elder

you say aall of the exams are done and they have all of your records, I am guessing that they have verified your stressor for PTSD, and you have completeed all of the C&Ps on May 15th....it has been my experience that it is usually about 90 days before you get the award letter and the money in the bank or a paper check they do have a tendency to low ball the initial PTSD award in my case they gave me 50% in May 2005 with a claim date of Dec 2003 I filed a NOD the very next day a year later they awarded me the 100% P&T my GAF's ranged between 30-45 nothing ever higher than 45 I also at that point had 3 annual statements from my shrink stating he felt that my PTSD by itself was considered total and permantly disabling and that he felt I would never be able to hold a job in the future.

Nothing is fast with the VA and they do not have timelines only the veterans do, the VARO and BVA and the Court of Veteran Appeals do things when they want to and contacting elected officials is a waste of time and only causes more delays (I have the T shirt)

100% SC P&T PTSD 100% CAD 10% Hypertension and A&A = SMC L, SSD
a disabled American veteran certified lol
"A journey of a thousand miles must begin with a single step."

Link to comment
Share on other sites

Is there anywhere a step by step guideline (flowchart) of the processing of claims? The self-help guide was great, but not complete.

http://www.warms.vba.va.gov/admin21/m21_1/...i/ch01/ch01.doc

And (the big question) are there approximate times associated with the processing at each step? Someone must know this. It is child'splay to put travelers on a sample of claims and calculate the average time each step takes.

The VA answers your claims request when they feel like it period.

There is no timeline for them.

There are only timeline requirement's for the claimant's.

What has struck me throughout is the almost complete lack of information about the process itself. The standard answer to virtually every question I've asked the VA or VSO or VRO is "I don't know." I don't think it has to be that way. Keeping track of paperwork is not rocket science.

OH believe me - we know all about the process itself, plenty of information on it.

Getting VA to follow their own regs is the problem and again they have no timelines

and/or accountability.

Is anyone aware of efforts in this regard or reports about this sort of thing?

http://www.gao.gov/archive/2000/h100146t.pdf

Hope this helps a vet.

carlie

Carlie passed away in November 2015 she is missed.

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

    • kidva earned a badge
      First Post
    • kidva earned a badge
      Conversation Starter
    • Lebro earned a badge
      Week One Done
    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use