Jump to content
  • Searches Community Forums, Blog and more

  • 0
BigRedDog

Request a Claim Decision now?

Question

Hello all, this my first post and question.  Trying to keep it simple for now, but I'm planning to post my more convoluted history shortly in regards to my big picture circumstances.  I've learned quite a bit here recently from the elders, mods, and last but not least, the new guys and gals asking questions such as this.  I'll try to give just enough info below, without going overboard, especially in order to help others understand their own particular situations.

Basic question(s):  On eBenefits, should I go ahead and request a claim decision?  I currently have nothing else to add .... but would it be worth it to submit a buddy statement?

Basic situation:  The claim is for IU (already eligible since 2014 at 70% combined) and an increased rating for seizures (currently 40%).  Last week, I scanned and submitted a requested statement about my self employed endeavors over the past year (type of work, hours worked, hours lost, gross & net income), for which there is a Dec 29th deadline.  FWIW, it was pretty depressing, and a net loss.  And yesterday I scanned in the 21-4192 Employment Info for my last W-2 job, which was 4.5 years ago.  Per eBenefits, this was "No longer needed," as of Oct 31, but since I finally received it in the mail from my old employer, I submitted it anyway.  C&P exam on Nov 13th by a VES doctor seemed to go as well as I could have hoped.  From judging the tea leaves and chicken innards on eBenefits, it looked like VES submitted the exam before Thanksgiving, the status moved to Prep for Decision after the holiday weekend, then back to Evidence Gathering with the request for more info about my self employment (generally a disaster trying to find work from home).  BTW, I still haven't gotten the physical letter requesting anything, so in these instances eBenefits is actually useful.  Estimated completion date is now March - June, previously being December.  My understanding of these estimated completion dates is that they are completely arbitrary, but I obviously want to get the ball rolling again ASAP.

Any insight on what to expect on this?  I'm assuming that if I don't request a claim decision, the rater won't even look at my claim again until that December 29th deadline.  The only buddy statement I could add regarding my worsening condition would be from my girlfriend, so I'm not sure if the VA can take that any more seriously than my own statements.

Thanks in advance.

Share this post


Link to post
Share on other sites

Recommended Posts

  • 0

I check so often, that in the past, I had one go from Pending Approval back to Gathering evidence and then to letter sent all in the same day.

I use if for entertainment purposes only.  LOL. 

There is one part that is definite, the letter generator.  I check that and when that changes, you will get the letter that day or the next.

Some Veterans find money in the bank before they get the letter.  I've never been so lucky.

Good luck to you,

Hamslice

 

Share this post


Link to post
Share on other sites

Ad

  • 0

It's definitely entertainment.  You'll laugh .... you'll cry ....

Just checked it again and it's at "Preparation for Notification," with a date range of 27DEC2018 to 16JAN2019.  No other changes yet.

Share this post


Link to post
Share on other sites
  • 0

So ......... I logged in to eBenefits tonight, and the first thing I saw under open claims was "Decision Notification Sent," but also back to "Review of Evidence."  Oh crap.

So I click on the claim ..... and the expected completion range is now 19JAN2019 to 09MAR2019.  Arrrggghhh. 

But I start thinking, hmmm, sounds like some sort of partial decision maybe.  I went to look at my disabilities, and BOOM, there's the big 100% at the top of the screen.  Looking further, I see that I'm at 100% for seizures now, with the date I filed the intent form, and one (but not all) of my 20+ year conditions is noted as (PROTECTED).  BTW, I noticed several weeks ago that maybe half of my rated disabilities have the wrong effective date.   Bottom of the screen still shows all the pending claim stuff, but I'm guessing this will all work itself out.

I checked the benefits link and they have added the Education Assistance Program AND I'm rated for SMC (S-1).  The letters page confirms everything as well.

I won't truly believe it until I get the BBE and the money, but it looks good right now.

Big thanks to everyone here who has shared helpful info in the past.

Share this post


Link to post
Share on other sites
  • 0

Wow,

Thats fantastic.

Someone said they "loosened" the screws in November, maybe no one has noticed yet and December will be great as well.

Can only hope,

Hamslice

 

Share this post


Link to post
Share on other sites
  • 0
1 hour ago, BigRedDog said:

So ......... I logged in to eBenefits tonight, and the first thing I saw under open claims was "Decision Notification Sent," but also back to "Review of Evidence."  Oh crap.

So I click on the claim ..... and the expected completion range is now 19JAN2019 to 09MAR2019.  Arrrggghhh. 

But I start thinking, hmmm, sounds like some sort of partial decision maybe.  I went to look at my disabilities, and BOOM, there's the big 100% at the top of the screen.  Looking further, I see that I'm at 100% for seizures now, with the date I filed the intent form, and one (but not all) of my 20+ year conditions is noted as (PROTECTED).  BTW, I noticed several weeks ago that maybe half of my rated disabilities have the wrong effective date.   Bottom of the screen still shows all the pending claim stuff, but I'm guessing this will all work itself out.

I checked the benefits link and they have added the Education Assistance Program AND I'm rated for SMC (S-1).  The letters page confirms everything as well.

I won't truly believe it until I get the BBE and the money, but it looks good right now.

Big thanks to everyone here who has shared helpful info in the past.

Sounds good. But, you might want to appeal the effective dates for your rated disabilities. Then again, other than getting a bit more change in your pocket. You're still going to get retropay with the current effective dates. 

Share this post


Link to post
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

  • Our picks

    • Sleep apnea- does the DBQ cover the "medically necessary/required" language?
      Hey everybody! Long time lurker, first time poster.

      My question is regarding the sleep apnea language that specifies that a prescription of a breathing assistance device is "medically necessary" for a 50% rating:

      Assuming that a vet is already prescribed a CPAP/APAP by the VA, does the sleep apnea DBQ portion under 2B "IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF A SLEEP DISORDER CONDITION?" fulfill that language requirement?
      • 28 replies
    • VBA testimony and GAO report-C & P examiners
      As you all know, C & P exam results control almost all types of claims. VA employees have no choice but to go along with a negative C & P exam that will deny a claim. Some vets are quite willing to rebutt faulty exams and ask for a new C & P exam. For others, it will take a costly IMO/IME in most cases. Ben Krause has this article at his site today: http://tinyurl.com/y9co6zac
      • 9 replies
    • Lumbosacral Strain and Vertebrae fractures caused by osteopenia
      Hi.  I have a couple questions and welcome all recommendations for my disability claim.  I am currently 10% disabled for lumbosacral strain and deferred decision for this and vertebrae fractures caused by osteopenia.  I had a MRI February 2018 and results include moderate compression fracture of L1, mild to moderate compression fracture of L2, moderate to severe compression fracture of L3, mild compression fracture of T11.  Additionally, L3 moderate spinal canal stenosis, L2 mild to moderate retropulsion with mild spinal canal stenosis, multilevel degenerative changes, multilevel disc bulges, disc herniations, L1-L2 mild broad-based disc bulge with mild spinal canal stenosis, L2-L3 mild broad based disc bulge with mild to moderate spinal canal stenosis,  L3-L4 mild to moderate broad based disc bulge and severe bilateral neuroforaminal narrowing.   I have read that these malfunctions should have been claimed individually.  Will the VA evaluate/rate each condition separately?  If not, I may have to appeal or submit a new claim.  What are some thoughts and suggestions.  Do these disabilities belong in the lumbosacral strain or the vertebrae fractures caused by osteopenia.  I am totally in the dark on this stuff.  I am pretty sure no diagnosis codes have been assigned.  What can I do to support my claim?  HELP!!!!!
      • 2 replies
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
  • Our picks

    • Sleep apnea- does the DBQ cover the "medically necessary/required" language?
      Hey everybody! Long time lurker, first time poster.

      My question is regarding the sleep apnea language that specifies that a prescription of a breathing assistance device is "medically necessary" for a 50% rating:

      Assuming that a vet is already prescribed a CPAP/APAP by the VA, does the sleep apnea DBQ portion under 2B "IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF A SLEEP DISORDER CONDITION?" fulfill that language requirement?
      • 28 replies
    • VBA testimony and GAO report-C & P examiners
      As you all know, C & P exam results control almost all types of claims. VA employees have no choice but to go along with a negative C & P exam that will deny a claim. Some vets are quite willing to rebutt faulty exams and ask for a new C & P exam. For others, it will take a costly IMO/IME in most cases. Ben Krause has this article at his site today: http://tinyurl.com/y9co6zac
      • 9 replies
    • Lumbosacral Strain and Vertebrae fractures caused by osteopenia
      Hi.  I have a couple questions and welcome all recommendations for my disability claim.  I am currently 10% disabled for lumbosacral strain and deferred decision for this and vertebrae fractures caused by osteopenia.  I had a MRI February 2018 and results include moderate compression fracture of L1, mild to moderate compression fracture of L2, moderate to severe compression fracture of L3, mild compression fracture of T11.  Additionally, L3 moderate spinal canal stenosis, L2 mild to moderate retropulsion with mild spinal canal stenosis, multilevel degenerative changes, multilevel disc bulges, disc herniations, L1-L2 mild broad-based disc bulge with mild spinal canal stenosis, L2-L3 mild broad based disc bulge with mild to moderate spinal canal stenosis,  L3-L4 mild to moderate broad based disc bulge and severe bilateral neuroforaminal narrowing.   I have read that these malfunctions should have been claimed individually.  Will the VA evaluate/rate each condition separately?  If not, I may have to appeal or submit a new claim.  What are some thoughts and suggestions.  Do these disabilities belong in the lumbosacral strain or the vertebrae fractures caused by osteopenia.  I am totally in the dark on this stuff.  I am pretty sure no diagnosis codes have been assigned.  What can I do to support my claim?  HELP!!!!!
      • 2 replies
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
    • Ignore Members Who Annoy You - How To
      How To Ignore Members Who Annoy You

      I'd love it if we all got along, no one had a bad day and everyone respected each other however, living in the real world it just doesn't work that way.

      If you find a member adds no value to your knowledge on a topic hover over their name and then choose Ignore User. You cannot ignore moderators and admins but you can ignore others.

      Thousands of veterans have come here for over 20 years to find answers and support. I wish we could help each and every veteran, but some we cannot. Sometimes folks just rub each other the wrong way and that is where the Ignore User feature comes in. Ignore the user and move on...
      • 1 reply
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Donation Box

    Please donate to support the community.
    We appreciate all donations!
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×

Important Information

{terms] and Guidelines