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Va Form 21-6789 Deferred Rating Decision

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Papa

Question

I received this form with my C&P results for Parkinson's. Here is what is on the form:

No box is checked for reason(s) for the deferral.

EP405

Sensitive Access Required

1. The claim for Parkinson's Disease signed on 02-12-11, by the veterans spouse and son cannot be accepted in the absence of a definitive finding of incompetency by a physician; and their appointed fiduciary (ies).

2. Send DT1 letter informing the vet and/or his representative that although electronic Fast Track VCAA letter was sent on 02-12-11, by regulation, we are not permitted to accept or act on correspondence regarding the veterans VA benefits unless it is signed by the veteran himself or his appointed representative.

3. Although it is shown in SHARE, there is no documentation of Mr. Xbeing appointed as the veterans representative. The VAF 21-22 of record for POA is for DAV, so the claim received 02-07-11, also should not be developed without revocation and authorization for the private attorney.

4. Review with SVSR, but I believe the pending claims should both be PCHG'd to EP400 until authorization is received.

5. Update tracked items and claims level suspense in MAPD and SHARE as necessary.

Can some one please tell me what all this means? My family was not dxing me for Parkinson's disease, but only telling what they had observed. They are saying that I did not sign the VCAA letter. Of course, I did not. It was suppose to be electronic. What does SHARE, MAPD, mean? I'm totally confused. I believe I have a VAF 21-22 POA for Mr. X.

Boots

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  • HadIt.com Elder

Welcome to Hadit Boots.

I guess it means that for some reason the VA will not accept your wife's and sons claim. I am not familiar with the form but if you want the VA to work on your claim you need to make them happy.

Good Luck

Veterans deserve real choice for their health care.

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oops looks like they sent that by accident. That's a blue deferred sheet that raters and appeals DROs use to send instruction for further development. it should have stayed in the folder, but i guess they missed it. MAPD is our claims development system and SHARES is how we control end products like 405. I would just send a VA Form 21-4138 explaining that you are indeed claiming (or not) parkinson's & explaining that the previous correspondence by family are just observations. Your signature on the 4138 will count for claim. If you have a 21-22 for Mr. X, send it again. You will most likely be sent for a VA exam called a DBQ (disability benefits questionnaire) for parkinson's.

I received this form with my C&P results for Parkinson's. Here is what is on the form:

No box is checked for reason(s) for the deferral.

EP405

Sensitive Access Required

1. The claim for Parkinson's Disease signed on 02-12-11, by the veterans spouse and son cannot be accepted in the absence of a definitive finding of incompetency by a physician; and their appointed fiduciary (ies).

2. Send DT1 letter informing the vet and/or his representative that although electronic Fast Track VCAA letter was sent on 02-12-11, by regulation, we are not permitted to accept or act on correspondence regarding the veterans VA benefits unless it is signed by the veteran himself or his appointed representative.

3. Although it is shown in SHARE, there is no documentation of Mr. Xbeing appointed as the veterans representative. The VAF 21-22 of record for POA is for DAV, so the claim received 02-07-11, also should not be developed without revocation and authorization for the private attorney.

4. Review with SVSR, but I believe the pending claims should both be PCHG'd to EP400 until authorization is received.

5. Update tracked items and claims level suspense in MAPD and SHARE as necessary.

Can some one please tell me what all this means? My family was not dxing me for Parkinson's disease, but only telling what they had observed. They are saying that I did not sign the VCAA letter. Of course, I did not. It was suppose to be electronic. What does SHARE, MAPD, mean? I'm totally confused. I believe I have a VAF 21-22 POA for Mr. X.

Boots

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  • HadIt.com Elder

Thanks Veldrina :smile:

Veterans deserve real choice for their health care.

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What is the difference between a C&P exam and a DBQ?

Boots

oops looks like they sent that by accident. That's a blue deferred sheet that raters and appeals DROs use to send instruction for further development. it should have stayed in the folder, but i guess they missed it. MAPD is our claims development system and SHARES is how we control end products like 405. I would just send a VA Form 21-4138 explaining that you are indeed claiming (or not) parkinson's & explaining that the previous correspondence by family are just observations. Your signature on the 4138 will count for claim. If you have a 21-22 for Mr. X, send it again. You will most likely be sent for a VA exam called a DBQ (disability benefits questionnaire) for parkinson's.

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  • HadIt.com Elder

Actually, getting the sheet is fortuitous, in that it identifies what they want. Knowing that can be a great help in getting the documents and stuff together, and sent to them.

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Actually, getting the sheet is fortuitous, in that it identifies what they want. Knowing that can be a great help in getting the documents and stuff together, and sent to them.

True, Chuck. At least this way u see what's going on.

A DBQ exam is for a specific condition, usu. the3 new ones (parkinsons, CLL & ischemic hert disease) that are now deemed to be due to AO by the courts (the whole Nehmer thing). It's just a template that the docs have to follow. Of course, the VA docs are in an uproar over some of the things on the template becuz again it was put together by some genius in Wash. DC that has no flipping clue what he's doing. For instance, the METs that are the bitg determinate on the ischemic heart disease are actually no longer used by medical professionals outside of VA as it has been deemed an inaccurate measure of metabolic heart rate, yet is the determining factor for our ratings. Yet I'm sure that guy got paid big bucks to come up with the DBQ template. grrrr.

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