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

Can you file a new information claim one file?

Rate this question


llburk

Question

I filed an agent orange cad claim by e-file using the option of a fully completed claim on March 5th.

I received a 10 per cent disability decision this week. My mistake was I didn’t have my private physician Fill out a DBQ and complete the interview based METS section.

My question is can I file another 21-526 EZ adding the new information for my approved 10 per cent by e-file? The approved 10 per cent is based upon medication only. 

I don’t want to appeal an approved claim and need to know how to correctly update that claim with new information .

 

 

 

Link to comment
Share on other sites

  • Answers 4
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

4 answers to this question

Recommended Posts

  • 0

Not sure but it sounds like you think the 10% was low-balling your condition. They did that to me, you are not alone.

You can call Peggy (the VA customer service #-800-827-1000) and get them to submit a request for reconsideration. Your 10% is yours, they wont take that back, but reconsideration opens the claim again and then you can upload a statement into the EB site to show that you should be rated higher. Write a letter showing the mistakes made in the C&P exam and document where your medical records show that your condition is worse than what the examiner said.  If you want to add more medical evidence then use RAMP.

This is a very common problem with VA C&P exams. This info was already in the case file at the VA when they made  my decision, it was the rating official that failed to account for facts contained in my case file when he rendered the decision.

The new RAMP appeals are designed to let them catch these errors before they get to the BVA level. If you appeal for a higher rating, you will not lose the SC that was already awarded, so you cant lose that unless they find significant mistakes or fraud. You would have to get notice of an intent to decrease which you could also fight and appeal if you lose. At one point, the VA ratings held a 74% error rate, which means that 3 out of 4 claims had errors in the decision rendered at the RO (according to the American Legion).

 

 

Link to comment
Share on other sites

  • 0
  • Moderator

Yes, you can file to reopen due to new and material evidence, 38 cfr 3.156.  There is a regulation for just that.  

You posted, 

Quote

 don’t want to appeal an approved claim and need to know how to correctly update that claim with new information .

 

 

I dont think you understand that you can appeal either SC, disability percentage, or effective date.  You would be appealing the disability percentage, by reopening new and material evidence 3.156.  

I think maybe you are worried that, if you appeal, the VA can take away what you have.  The VA and the VSO's LOOOVE it whn you think that way.  They want you to be "afraid" of filing for an increase out of fear of a reduction instead.  Remeber this acronym:

F alse

E xpectations

A ppearing 

Real

This is what fear is, precisely.  The VA can reduce you, yes, if you imporve.  And, they can take away benefits if you are a fraud.  But they are not gonna take away your benefits because you forgot to send in another doc report that documents additional symptoms.  

Link to comment
Share on other sites

  • 0

They can try to take your benefits.  In an SOC it was noted that my case needed further review for reduction.  When I requested my case go to the BVA they suddenly forgot about the further review.

Do not let the VA strongarm you.  You can always request higher level review.

Edited by vetquest
Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

I agree with Vetquest & broncovet  good info.

 

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

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

    • Dave119 earned a badge
      First Post
    • Dave119 earned a badge
      Conversation Starter
    • Brew earned a badge
      Dedicated
    • Rowdy01 earned a badge
      First Post
    • Laddib45 earned a badge
      Week One Done
  • 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