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

Predetermination Claim?

Rate this question


silke

Question

Hello all,

On our e-bennies acount under claims status it has an open claim thats simply labeled as "Claim Type: Predetermination"....I have no clue as to what this could be, has anyone ever seen this before?

Thank you all

Link to comment
Share on other sites

  • Answers 5
  • Created
  • Last Reply

Top Posters For This Question

5 answers to this question

Recommended Posts

What it sounds like is; The rating you'll receive is only a temporary one untill VA gets all the info they need to close this claim out. Once they receive this info they will re-rate you. What is your claim for?

Coot

!!!BROKEN ARROW!!!

Link to comment
Share on other sites

I have no claims other than Im awaiting an appointment as fidicuary for my husband...my husband was rated 100% permanent last year, which shows up as closed on ebene's, but there is an imcompetency issue. It would make sense if that was it, but no field agent has shown up yet for a visit and no retro money has been deposited......

The strange thing is that the predetermination claim opened on the day of his comp award (6-27-2011) and just closed yesterday and they sent out a letter....Ill let you guys know what it says if your interested......Have a great weekened!!

Link to comment
Share on other sites

Thanks silke, it would be interesting to know what they say, mainly so I can obtain extra knowledge on these type of claims. I'm assuming he's rated for PTSD due to the mentioning of incompetency. Please excuse me silke if you already know the complete rating process, but the last 3 stages/phases of the process are (in order) [1] Pre-determination team where they make sure everything is in order for the rater, such as, C&P exams, evidence, c;file, duty to assist letters, etc. [2] Ratings ​where the RVSR Rating Veterans Service Representative reviews your file and makes a decision on the claim according to the law. [3] Post-determination team where the information is entered in the system and a letter of decision sent out.

Hope your not confused as why I stated this. I was thinking this would help to understand some of the process as to the term predetermination comes into the picture. JMO, there seems to be 2 parts of this claim, and since the rating part has already been determined, I'm thinking now the 2nd part has to do with the incompetency issue. So yes, please let me know since I'm curious, and possibly stand to be corrected.lol

Coot

!!!BROKEN ARROW!!!

Link to comment
Share on other sites

I called the 800 number this morning and the pre-determination claim is for the incompetency issue, I will have to wait to get the decision letter to get any more information. I asked about these types of claims and they said, generally speaking, a "predetermination" claim can mean several different things. They could be proposing a rating of incompetence for VA purposes,

they could be proposing a reduction in VA benefits, they could be proposing to remove or add a specific dependent from the Veteran's award, etc....those were the examples they game me.......I suggested they make this a bit more clear on E-bennies. Thank you for your time and service Cooter!.......have a great day!

Link to comment
Share on other sites

Thanks silke for the info! I'm with you, clarifying some of their terminology a little more broader.

Coot

!!!BROKEN ARROW!!!

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

    • Vicdamon12 earned a badge
      One Month Later
    • ArmyTom earned a badge
      Week One Done
    • kidva earned a badge
      Reacting Well
    • kidva went up a rank
      Apprentice
    • kidva earned a badge
      Collaborator
  • 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