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

Pending Decision Approval

Rate this question


Big Mac

Question

According to Ebenefits my claim has been sitting @ Pending Decision Approval for over two weeks. I've called 1-800-827-1000 twice & their response is that my claim is in notification phase with an average 15 days to receive.

Link to comment
Share on other sites

  • Answers 37
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

I’m on pins & needles waiting to see my new VA rating. I applied for SSDI for my service connected injuries in April 2011 & was approved Sept. 2011. Here’s a statement the Dr. for my C&P exam wrote for my progress report.

Right Ankle

Does the Veteran’s ankle condition impact his or her ability to work? Yes, Veterans is unable to walk long distance due to right ankle condition. Assistive device; right ankle brace for support.

Back (Thoracolumbar Spine) Condition, Veteran has been diagnosed with thoracolumbar spine back condition; yes

Diagnosis #1 Lumbar DDD, L5-S1/Spinal Stenosis ICD code 722.6

Diagnosis #2 Radiculopathy, Lower Extremities ICD CODE 729.2

Back surgery Dec 2001 & Nov 2010, Mar 2011 MRI shows recurrent herniated nucleus pulposus L5-S1 spinal stenosis and left L5-S1 intraspinal, extraduaral epidural fibrosis & scar tissue & disc protrusion. Select where forward flexion ends (normal end point is 90) x5. Select where objective evidence of painful motion begins) x5, nothing higher than a x10. Does the veteran have additional limitation in ROM of the thoracolumbar spine (back) x yes. Does the veteran have any functional loss and/or functional impairment of the thoracolumbar spine (back)x yes. Less movement than normal Weakened movement, Excess fatigability Incoordination, impaired ability to execute skilled movements smoothly, Pain on motion, Instability of Disturbance of locomotion, Interference with sitting, standing and/or weight-bearing. Does the veteran have guarding or muscle spasm of the thoracolumbar spine(back) x yes. Abnormal spinal contour, such as scoliosis, reversed lordosis, or abnormal kyphosis. Does the veteran have IVDS of the thoracolumbar spine/ x yes. Assistive Device: brace & walker: Frequency of use: regular Does the veteran’s thoracolumbar spine (back) condition impact on his or her ability to work? x yes

Hip & Thigh Condition Does the veteran report that flare-ups impact the function of the hip and/or thigh? X yes. Select where flexion ends (normal endpoint is 125 degrees) x15. Select where objective evidence of painful motion begins) x15. Is adduction limited such that the veteran cannot cross legs) x yes. Is rotation limited such that the veteran cannot toe-out more than 15 degrees? X yes. Does the veteran have additional limitation in ROM of the hip & thigh following repetitive-use testing) x yes. Does the veteran have any functional loss and/or functional impairment of the hip & thigh? X yes Unable to sit for long prolonged period of time due to back, knee and hip condition. Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly - Both, Pain on motion - Both, Instability of station - Both, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran have ankylosis of either hip joint? X yes. Assistive Device: brace & walker: Frequency of use: regular, Left knee brace for support due to occasional ‘giving way of left knee, walker for back condition and radiculopathy and knee condition, right ankle brace for support. Have imaging studies of the hip been performed and are the results available? yes, Is degenerative or traumatic arthritis documented? yes - Both, Does the veteran’s hip & thigh condition impact on his or her ability to work? x yes

Knee and lower leg conditions Diagnosis #1 Left Knee PFS ICD code 719.46, Diagnosis #2 Left Knee OA ICD code 715.90, Diagnosis #3 Right Knee DJD ICD code 715.90 Right knee medial meniscus tear, Right Knee - Select where flexion ends (normal endpoint is 140 degree)x 95, Select where painful motion begins) 95, Unable to fully extend, extension ends x25, Left Knee - Select where flexion ends (normal endpoint is 140 degree)x 110, Select where painful motion begins) 100, Unable to fully extend, extension ends x25, Is the veteran able to perform repetitive-use testing with 3 repetitions? No, provide reason Limited due to back and knee pain, Does the veteran have additional limitation in ROM of the knee and lower leg following repetitive-use testing) x yes, Does the veteran have any functional loss and/or functional impairment of the knee and lower leg? yes If the veteran has functional loss, functional impairment or additional limitation of ROM of the knee and lower leg after repetitive use, indicate the contributing factors of disability below (check all that apply and indicate side affected) Less movement than normal - Both, Weakened movement - Both, Excess fatigability - Both, Incoordination, impaired ability to execute skilled movements smoothly -Both, Pain on motion - Both, Instability of station - Both, Assistive Device: brace & walker: Frequency of use: regular, Disturbance of locomotion - Both, Interference with sitting, standing and or weight-bearing - Both, Does the veteran’s knee and /or lower leg condition impact on his or her ability to work? x yes, Unable to sit for prolong period of time due to back knee and hip condition.

are you currently service connected for your spine and for the radiculopathy? if so, how much? i'm curious a i'm presently 40 for my back. Edited by iceturkee
Link to comment
Share on other sites

It's been about a month & nothing yet. When i call 1-800-827-1000 I get the same answer, notification phase is about 15 days average from Winston Salem, NC. news flash 1 Oct 2012, was a month ago!

Link to comment
Share on other sites

It's been about a month & nothing yet. When i call 1-800-827-1000 I get the same answer, notification phase is about 15 days average from Winston Salem, NC. news flash 1 Oct 2012, was a month ago!

mine has been at rating board ready for decision since sept 17. my dav reps say they can not tell me how long it will be.

UPDATE: my dav rep emailed me today to tell me a rating decision is expected later in the day!

Edited by iceturkee
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