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

C&p Exam

Rate this question


sbrewer

Question

  • Answers 5
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

5 answers to this question

Recommended Posts

  • HadIt.com Elder

I have had C&P exams where the file was not there, make the doctor note the absence of it in the C&P because it makes the C&P useless, the C&P file is required for the doctor to properly assess your medical history then and now if it's not there it's not a proper C&P they have had to redo 2 of my C&P for that reason

100% SC P&T PTSD 100% CAD 10% Hypertension and A&A = SMC L, SSD
a disabled American veteran certified lol
"A journey of a thousand miles must begin with a single step."

Link to comment
Share on other sites

Guest rickb54

Yes they are supposted to have the C/P file at all exams. I have gone to two c/p exams where the doctor did not have the file, and both wrote into the record that the file was not reviewed because it was not available. I won one of the claims the other I lost, I cited this fact among others on appeal. When I requested a new c/p exam I was told no that this was not a cause for reexam, I am still waiting on the answer to this appeal.....

Link to comment
Share on other sites

  • HadIt.com Elder

The only time the C-file must be with the examiner is when it's an intial claim, initial PTSD claim, when a medical opinion is needed, for claims involving POW's, and BVA remands.

See M21-1MR, Part III, Subpart IV, Chapter 3, Section A, §1 (e ).

Vike 17

Link to comment
Share on other sites

  • HadIt.com Elder

thanks for clarifying that all I have ever had was initial exams, I have never been called in for a re-exam and guess I won't due to the P&T rating thankfully

100% SC P&T PTSD 100% CAD 10% Hypertension and A&A = SMC L, SSD
a disabled American veteran certified lol
"A journey of a thousand miles must begin with a single step."

Link to comment
Share on other sites

  • HadIt.com Elder

1968,

"Please clarify. My initial claim was 1969 and my C-file number was assigned, then. Then in 2005, I filed various new claims on different problems. Are these new claims considered "reopening" or review for a higher rating, not initial"

There two instances when a veteran "Re-opens" a claim. The first is when he/she requests an increase in evalution for an already service-connected disability, and the second is when the veteran submits "new and material" evidence for a claim that is final i.e. the appeals period has run out without the veteran submitting a NOD. In these two senarios a veteran is "Re-opening" their claim.

When a veteran submits a new claim for benefits, meaning a claim that hasn't previuosly been considered at VA, is just that a "new" claim.

"These may be for another medical opinion.... but will they have the past evaluations and will they consider them in these new C&Ps or just go by what is found at the new C&P, exclusively"

For claims that are "re-opened" due to a request for an increase, the medical evidence ect... since the last C&P exam are considered. For "new" for disability compensation, all the evience sent in by the vetran and/or obtained by VA since the new claim was submitted will be considered.

You should take any relavent medical documentation pertaining to your claimed disabilities to the C&P exam for the examiner to review and send those medical records to the regional offce to insure the RVSR has them for consideration when he/she makes their decision.

Vike 17

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • 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