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

Ebenefits Shows A Regulatory Or Procedural Review

Rate this question


john999

Question

  • HadIt.com Elder

When I checked Ebenefits is showed I had a claim with the status type: Regulatory or Procedural Review. This claim, that I never submitted and no nothing about, was submitted and completed within 30 days. I sent the VA an email asking what the devil this is but have gotten no answer. Anybody have any idea what this might be regarding?

Link to comment
Share on other sites

  • Answers 9
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • 0
  • HadIt.com Elder

Maybe your lawyer got someone to take a look?

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

  • 0

I had the same claim last year, except mine last 4 or 5 months. Nothing major, it is where a big dog at the VA reviews your claim for accuracy.

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Oh, OK I was not sure what the heck the VA was doing. I did not file a claim last June. It was closed in 30 days. I always figure I am going to be back in the boxing ring with the VA for something. I saw my C&P exam for my DMII increase claim. The doctor did a half ass job. He did not mention any of the secondary conditions I have from DMII and said I had none. This is pissing me off to an extent since I get Housebound SMC based on DM11 related conditions. These conditions have been SC for over 5 years and he never even examined me for them. I will be visiting the VARO in a hurry if they have messed with any of my SC ratings based on this guys exam.

John

Link to comment
Share on other sites

  • 0

I have had over 20 C&Ps in the last 18 months, and should have 7 more soon with the current FDC I filed in June. I get so tired of going in there and the Docs either don't care, or they try to tell us how we feel, instead of listening to what we have to say. The evidence is in front of them, so they should know that we are not stupid or trying to lie.

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Navy04

It seemed to me that the Exam doctor did not want to consider anything in my claim for an increase in my DMI, I but the fact that I was prescribed oral medications in addition to watching my diet and exercise. He went out of his way to dismiss the three secondary conditions I am already SC for as a result of DMII. Do I have to ask specifically, or claim specifically increases for all the secondary conditions in an exam for DMII? My feet are worse via PN, but he dismissed that when I brought it up. On his exam he says I have no other secondary issues. I have artery disease and PN from the DMII. No exam for those issues, or even a mention of them. All he focused on was the fact I now take oral meds (Metformin). He said my kidneys looked good and my eyes seemed ok even though I had cataract surgery on both eyes. I thought when a vet began to take oral meds for DMII it was an automatic 20% rating, and when and if he/she begins to take insulin it is 40%. Am I wrong? He noted I had not been hospitalized for the DMII. I sure hope not at this point. It was not a biased exam, but just an incomplete exam IMO. He did no exam except to look at my existing records, and ask me about how long I had been taking Metformin and my AIC and fasting glucose. He did not look for any common secondary conditions or ask me about any. This is a half-ass DMII exam. It seems the VA is just trying not to see anything beyond the limited scope of my glucose levels. It seems I have to identify to them any possible secondary conditions of DMII because they are not looking. No wonder so many vets with DMII lose limbs and have heart attacks. The VA is not even looking.

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

    • KMac1181 went up a rank
      Rookie
    • 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
  • 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