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claim automatically combined with a pending appeal

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vern2

Question

I have 3 appeals pending with VARO. I have filed two more claims since then, one on 12 July 2014 and another on 2 April 2015. This is copy of email response got today from Director of VARO. My question is this:

Is it possible or legal to combine a new claim with a pending appeal? The appeal has been pending since 7 October 2013, almost 2 years. The claims are all revolving around my heart disease and secondary issues, except eye problems and non allergic rhinitis.

"I apologize that communications from my office to you as a result of your
inquiries have not provided you with the information you are seeking.
Please know that I would never disregard your e-mails but I do ask my staff
to assist with answering them at times which is why you may be contacted by
someone else on my behalf.  Regardless, I will ensure you get a more
complete answer to your inquiry and ensure we are all on the same page going
forward. 

The claims you submitted were closed out as they are considered part of the
issues on appeal.  This is why you are unable to see the claims pending in
e-benefits.  There are two appeals pending at this time, one from October
2013 and the other from April 2015.  Rather than disclose the issues on
appeal in this forum, I will ask one of my best employees to reach out to
you today to explain your appeal issues, claims you submitted, and explain
the status of both.  I know this is very confusing for you and I will ensure
you receive a thorough explanation so you are comfortable with our actions
on your issues.  If you still have questions after discussing with one of my
staff today, please let me know."

Edited by vern2

Vern 2

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  • Content Curator/HadIt.com Elder

If the claims are related to the issues on appeal, I would assume they would be combined. However, if your heart claims are on appeal and then you filed a new claim for your eyes and sinus, I would assume those would be handled separately as legitimate new claims. I would be concerned that this may take the new claims out of the fast lane (new claims) and put in the slow lane (appeals).

"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.

 

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yes, Vync. This is what I do not want to happen. It is also a way that they can claim to have reduced claims when all the VA has done is shuffle to another pile.

Vern 2

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This is confusing..........

I have a (claim) request for c-file records, but I  recently put in a claim for increase of a service connected knee disability.

I was told the request for medical records really wasn't a claim, so I should be ok.

Does anybody know the hard and fast rules on submitting claims when claims are pending in the system? 

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  • Content Curator/HadIt.com Elder

It might be worth contacting Allison Hickey. I am pretty sure she would be interested in knowing how some VARO's go about skewing the real numbers.

"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.

 

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I'm sorry, but I just don't get it. You have 3 different claims on appeal and you've filed 2 additional claims? Are any of the newer claims secondary to a claim on appeal? You want of these claims to be adjudicated separately and independently? Are you just throwing everything you can against the wall to see what sticks? If the Va is having to work 3 appeals and 2 claims all separately, just for one veteran, what does this do for an already overloaded claims system? 

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Two "claims" are CUE. I have only one claim on appeal. The two additional "claims"  are related to the original claim-heart issues, have been combined into the claim on appeal, so only have one claim on appeal. Sorry for the confusion. If you are diagnosed with hypertensive cardiovascular disease, this can attack many organs in your body, besides the heart, so you will have many contentions.:wink:

Vern 2

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