Supplemental in AMA Timeline

[Miken2c74]

Original claim opened in Nov 2013 (Legacy)

Claimed Denied Dec 2014 (Legacy)

Submitted NOD in Jun 2015 (Legacy)

Opted into RAMP July 2018

Denied Ramp May 2019

Supplemental Claim open June 2019 ( In decision phase now per VA)

 

Flat feet (aggrivated due to ) From original claim date ( new DBQ, Medical opinion, Nexus, lay statement) On supplemental claim

Knee condition from original claim date  also supplemental claim (New DBQ, Medical opinion, Nexus , Lay statement) on supplemental claim

Back condition from original claim date rated 20%

Fibro Denied

Hip condition denied

I am waiting to see how this comes out (nerve racking)

[Buck52]

How is the VA claim exam or C&P exam scheduled? A VA medical center or a VA partner is responsible for contacting you about scheduling a claim exam. They may either mail you a letter with the date and time of your appointment(s) and/or call you to find a time that fits with your schedule. If you are receiving treatment at a VA medical center, make sure they have your current address, phone number and email information. The wrong information could cause your appointment letter to be delayed and not reach you in time. It is a good idea to call and confirm the exam time(s) and locations to make sure you and VA or the VA partner have the correct appointment information. Use the phone number on your appointment letter or if you were called, use the phone number left by VA or the VA partner. If you don’t show up to your exam, you may have a longer wait to get your exam rescheduled; it could delay your claim; and/or your claim could be rated “as-is” (using only the information in your file). Q: The date and/or time of my C&P exam doesn’t work for me. Can I reschedule my exam? If your scheduled exam date or time does not work with some other life event, immediately call the number provided and try to reschedule. Unless it is an emergency situation, try not to reschedule the exam the day before or on the day of the exam. Not responding to a phone or letter request for scheduling an exam or missing the exam could cause VA to delay its decision on your claim. Not showing up to your exam takes up an appointment time another Veteran could have used, and also could cause your claim to be rated “as-is” based only on the information in your application. Most facilities try to meet your requests (if possible) if you have a good reason for rescheduling your time and you give enough notice.

 

Question 1. VA is releasing my file to VES under HIPAA, Tracking ? But why is VES releasing that same information to someone who's not under HIPAA. I am in Germany, every C&P I have been to has been by a German national citizen with a German tax number, GERMAN !!!. They are sending that information unencrypted, that is a NOGO. 

When you agreed to the C&P  THIS IS AUTOMATIC for the VA to send your c-file to the CONTRACTED OUT CONTRACTOR who they select to perform the C&P Exam,  in this case it's VES,

They read your c-file or what records the VA sends them in order to make an evaluation on what your claiming  its called evidence  without it  you will be 100% denied.

I once had a C&P  Exam at my VAMC ENT Clinic  the  VA  Dr   (EXAMINER)went up to the C&P OFFICE and got my complete C-File  he even took it home to read and study it,  he did break the rules when he took it out the VAMC Doors, it was not suppose to leave this building what so ever,  but anyway he had it the next day at the clinic .  

REASON I KNOW THIS VA EXAMINER TOOK MY COMPLETE C-FILE HOME? HE TOLD ME HE DID TO MY FACE...BUT BACK THEN OUR C-FILE WAS NOT ON CD . so this DR had the records the VA sent from the R.O.  So it actually was not my complete C-File  if it was he would have had about 6 or 7  12''x12;; boxes full of papers on his desk,,,so he had  the records needed to make an evaluation on my claim  which was the pertains records the  VA Sent to the C&P Office at my VAMC

but anyway he had these records the next day at the clinic .  This C&P Exam was inadequate and I requested a hearing at my R.O. by a DRO Officer and a hearing rating specialist.  which  ended up  favorable for me.

Because this exam caused my R.O. TO send a reduction PROPOSAL to my benefits  caused from what this examiner mention in his report, I never NOD this  because a decision was not made  just yet.

on the report this examiner made  they (VA RO) gave me a choice sent by letter to inform me as to what this examiner mention in his report and the proposal to reduce,,so I choose the DRO Hearing at my R.O.

This was a hearing to solve the INADEQUACY  EXAM with this C&P Examiner & The proposed reduction by the VA, so I was not denied on this C&P

The reason what prompt me to request the DRO Hearing .

I WAS INCREASED TO TDIU P&T NO REDUCTION TOOK PLACE  I WAS 50% AT THE TIME.

AFTER PRESENTING MY EVIDENCE AND FROM WHAT THE DRO AND RATING SPECIALIST PRESENT  MY HEARING  THEY GAVE ME 10% FOR THE TINNITUS I BEEN TELLING THE VA AUDIOLOGIST ABOUT FOR YEARS  AND A 30 %INCREASE ON MY PROFOUND HEARING LOSS.

   This made me 90% combined  because I had a hard time finding a job and could not do the work I was trained to do  even though I had been in Voc=Rehab I had a letter from the Voc=Rehab counselor stating as such and along with all my other concrete evidence  they based their decision on all my evidence.

Some will say they never had  good results at a DRO Hearing  but if you have the evidence  you will have good results  this is what its all about (EVIDENCE)

[Buck52]

GB Army

I believe the veteran can take his evidence that pertains to his C&P Exam.

  It needs to be evidence the veteran has already submitted but in case the examiner don't have this evidence (if the VA never sent it to the examiner) the Veteran can produce it at his C&P Exam.

  This is why its a good Ideal for a veteran to be sure and bring his probative evidence to the C&P Exam with him or evidence that pertains to his claim,   in case the examiner don't have it  but this evidence needs to be documented (on file with the VA) 

* If a veteran feels the examiner is not using his evidence during the exam and the exam seems to be going south,  this is the time the Veteran needs to speak up for him self and let the examiner Know he has this evidence with him  and would like to present it to him at this time.

and have the evidence in a folder organized and ready to flip out in case.  with the main parts of the evidence high-lighted in color  that is crucial to his claim.

[Miken2c74]

On 5/31/2020 at 12:54 PM, pacmanx1 said:

You only asked GBArmy  for his opinion but I will add my two cents. I think you are still missing the point. This is not burger king where you can have it your way. The thing is most likely VES and this C & P examiner are under contract with VA.  VA does the exact same thing to veterans stateside as to, if a veteran has a contract C & P exam, the veteran must request a copy of the C & P exam from VA not the C & P examiner. Your C-File is not being transferred/shipped to the C & P examiner, just pertinent medical records which most likely is part of the VA Medical Records System which no veteran has access to. You/we veterans do not even have the software for VA to give us access to our records, so why would VA just send them to you. It is not a simple Email.  Always keep in mind that VA, doesn't trust veterans.  Unfortunately everyone is not honest and documents could be added or omitted if VA did send veterans their C-File to take to C & P examiners. You must remember that this is VA's game and you have to play by their rules or VA could either deny your claim or as was already mentioned, schedule you to a stateside C & P Examination.  

No I was not just asking @GBArmy, I only use him because he usually answers specifically and @pacmanx1 you are ruthless

[pacmanx1]

1 hour ago, Miken2c74 said:

No I was not just asking @GBArmy, I only use him because he usually answers specifically and @pacmanx1 you are ruthless

Just trying to call it straight and plain, did not try to be mean. Basically wanted you to know that this is typical/normal for VA to do this whether a veteran is stateside or not.

Edited June 2, 2020 by pacmanx1

[Miken2c74]

I know brother, I respect that. I am pretty brutally honest when pushed also.

[Miken2c74]

Yeah I was only thinking @GBArmy may be right. I might have to back off of that.