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

The Importance Of Getting Your "c" File

Rate this question


OSC

Question

asknod responded to a post located here on hadit

This response made such a huge impact on me as to its importance; that I had to respond to it and start this thread:

asknod wrote:

You won because you took the time to learn the twisted system. Far too many come here and merely try to get others to do their footwork. Advice is one thing. Asking for a complete book of Cliff Notes is far more. No one is more invested in your claim, more knowledgeable than you about the actual facts, nor capable of bringing the proper legal arguments to the table. It took me 14 years to recognize my 1994 claim was actually still open in 2007 and not a "reopen". VA naturally fought me all the way to the CAVC arguing the opposite. Evidence is king. When they create a c-file, they inadvertently give you a Rand McNally roadmap of all their stupidity. You, of course, are tasked with the job of decyphering it and pointing out the errors. No VSO and few law dogs can find the "magic moment", let alone recognize its significance in your battle. I commend you for following Phil Roger's sage advice on the purchase of the VBM. That's exactly how I won. I went one better and "gifted" it to a young gal in Florida who won her 1975 CUE claim. Pay it forward. Now consider the next chapter--The Independent Living Program. A free computer is one of the obvious low-hanging fruits first off.

My response:

asknod…You sure hit the nail with that statement….And a homerun at that. When I finally received my “C” File it came in a box about 6 inches thick. I thought OMG I sure am going to have a good time here. (not). I took this huge mass of papers and put each piece of paper in its correct order and place. This took many nights, but Oh so worth the time.

After putting it all in order, I made a working copy of every section so I could make notes and still have the “clean” originals the VA sent me. Of course there were lots of holes in what was sent (of which I made note of) and some duplicates.

Then I went though each and every piece, looking for ANYTHING that might help my case, making notes with different colored pens as to what I considered relevant and the level of importance. And since I am a packrat, I also had some of my old SMRs from when I was in the Navy, which I used to fill in the holes, and also all of the VA denial letters (which also were in my “C” File). A yellow pad was used to keep track of ANYTHING, no matter how small that might help me win.

The VA had denied me, for Hypertension among other things, when I first submitted in 1992. Then during the C&P of January 2012, the doctor put down that the primary cause of some of my major contentions was Hypertension (BUT, I was not Service Connected). So, now I needed to figure out a way to Service Connect my Hypertension.

And then I found it….My MAGIC MOMENT. So in going through my SMRs from the “C” File, page by page and entry by entry, I found all of my Blood Pressure readings. I wrote then down as to date, time, reading and the reason for visiting the Sick Bay.

A C&P was conducted in April 2013 where I took all my findings from going through my “C” File including a list of where all of my Blood Pressure readings were located in my SMRs, for the doctor to look at. He could then compare and verify the readings from my list to his copy of my SMRs and then enter the information in the C&P report. The doctor DID IN FACT make the judgment that I had Hypertension while on Active Duty and thereby Service Connected me for benefits.

If I had not gotten my “C” file, I never would have gotten the ammo to fight the VA. Yes, asknod is correct when he says that the VA gave us all a map and it is up to us to use it for our claim.

OSC

Edited by OSC

60 Nephropathy w/Hypertension

60 PN Upper Left

40 PN Lower Left

40 PN Lower Right

30 IHD

20 DMII

20 PAD Lower Left

20 PAD Lower Right

10 PN Upper Right

10 Scar L/R Carotid

10 Scar Abdomen

0 Hypertension

0 Surg Rt Ring Finger

100% P&T plus SMC (K-1)

Link to comment
Share on other sites

Recommended Posts

  • 0

Fat:

I hope so, it's been a long and difficult path and, I'm less concerned about getting a good claims out come, rather then the VBA throwing me a "curve ball" that I have to spend years in appeals challenging? But, who knows, I may actually get lucky...and do good on the first go-round. According to the current stats, vets only get 15% of their contentions approved during the first claims approval review so I'm a little skeptical about the process...anyway...thanks for your responses....

Edited by rootbeer22
Link to comment
Share on other sites

  • 0

Rootbeer22 you seem to be ahead of the curve ball for initial claims.

The 15% is partially the VA's fault, but veterans being given bad advice on first claims is the culprit too.

Like: claim everything in your file, ignoring VA correspondence, awaiting VA to get records from private providers, no current diagnosis, no SMR's before filing claim, not using VSO, etc.

I wish I discovered HADIT before filing in 2001, but I didn't and now I'm in the appeal waiting game.

NEVER GIVE UP

Link to comment
Share on other sites

  • 0
  • Content Curator/HadIt.com Elder

OSC,

That basically sums it up

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

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