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Ebenefits Shows A Regulatory Or Procedural Review

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john999

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  • 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?

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  • HadIt.com Elder

Maybe your lawyer got someone to take a look?

Veterans deserve real choice for their health care.

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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

 

 

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  • 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

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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

 

 

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  • 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.

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