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Claims Being Processed


handler
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Question

Not sure if this is the correct spot on the forum to place this but I hope so.

My question(s) are about trying to understand what actually happens along the way when claims are filed and begins the journey to the final decision.

In May of 2010 I submitted an informal claim for IHD and other items. Then in June of 2010 I finished my work on putting the claim together and submitted the 21-526. All submitted and documented at my local Service Office.

Not having access to eBenifits until earlier this year I cannot say what the status was of any of the claims prior to access. I just sat back and waited. When I was asked to submit evidence other then what I initially did, I did so as soon as possible.

In one of the requests the VARO sent me the 21-8940 form. Note that I did not claim IU in my initial claim. Form was filled out and returned to my VASO the next day.

When I finally was able to log on and take a look, I saw that I had two claims listed and their status:

1. Compensation Claim-- Dated 7/6/10

2. Status Review Claim-- Dated 7/6/10

Now, under the "Compensation Claim" they listed: (abbreviated by me)

PTSD

Hearing Loss

Tinnitus

GERD

Left Hand Injury

Scar

High Cholesterol

IU

and under the "Status Review" claim they listed: (abbreviated by me)

IH

CAD

Heart Attacks

Severe Angina

Shortness of Breath

ED

Hypertention secondary to IH

GERD due to IH and PTSD

Not all these items were not listed on my initial claim but rather they were broken out apparently by the person who read my mountain of documentation that I sent with the claim.

In December of 2010 I had my C&P exams for all the above items.

One of my questions is this.

Up until 1-11-11 both those claims were listed as in the Development Stage

On 1-11-11 Both Claims were placed in the Decision Stage

Now on 1-19-11 The "Rating Review" claim has been "CLOSED" and the "Compensation Claim" has now been put back into the "DEVELOPMENT" stage.

Can someone explain what may be going on here? I have not seen anything in the mail nor anything in my bank account so I am kind of curious at to what this means. Still sitting back waiting for something to happen.

Thanks for all your help

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  • HadIt.com Elder

Depending on which VARO is handling your claim you are very close to an answer. Might not be the answer you want but it will be the first word.

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Depending on which VARO is handling your claim you are very close to an answer. Might not be the answer you want but it will be the first word.

Thanks Pete53. That would be nice. I was wondering why they broke the claim out into two sections. Maybe it is because the IH one is a Presumptive one (26 months on the ground in Vietnam) and all the issues they listed with IH are tied to IH/CAD. I just hadn't seen that phrase "Rating Review" used in any of the posts here. Guess time will tell.

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  • HadIt.com Elder

From what I have seen lately you should like your answer. Remember that if you get an award to make sure that VARO did it right.

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Not sure if this is the correct spot on the forum to place this but I hope so.

My question(s) are about trying to understand what actually happens along the way when claims are filed and begins the journey to the final decision.

handler,

Here's a topic for you to read - it covers the basics of the whole enchilada.

http://www.hadit.com/veterans_self_help_guide.html

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handler,

Here's a topic for you to read - it covers the basics of the whole enchilada.

http://www.hadit.com...help_guide.html

Thanks Carlie, I had read most of that before.

And Congrats on your recent success by the way. Nice to see good things happen to good people.

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I think they made some tentative awards and now are considering the TDIU claim.

TDIU is awarded at the 100%rate of comp so this is beneficial to you to at until the TDIU issue is resolved.They might well make an award and the check could get into the bank before you even get their letter.

In that case they will send yo a letter that will defer the TDIU or any other issues that are unresolved yet.

"In one of the requests the VARO sent me the 21-8940 form"

That is good because it could mean they have tenatively rated you at 70% SC by now and that is what usually always triggers them to send the form out.

It does not matter what rating a vet has to apply for TDIU themselves if their SC prevents them from working

but they dont want us to know that.

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