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CUE OR REOPEN OR JUST OUT OF LUCK
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Read Disability Claims Articles
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pacmanx1
Just trying to get my mind clear on something, I know a veteran cannot file a CUE claim on a change of diagnosis but can a veteran file a claim of CUE when the veteran filed a non-specific diagnosed condition. OK, here is the scenario, a veteran filed a claim for multiple joint pain in 2000. VA processes the claim and denied the claim in 2000. Veteran finds VAMC medical records of veteran being diagnosis and treated for fibromyalgia in 2000 all within the same year of applying and being denied. Even if the veteran cannot claim CUE, the veteran should be able to reopen the claim for a better effective date due to 38 CFR 3.157. Yes, I know that VA has removed this regulation but it was in affect back in 2000 and should be considered. The veteran should also be able to reopen and use 38 CFR 3.156 to get a better effective date. VA denied the veteran's claim in 2000 but later granted the veteran service connected Fibromyalgia years later?
(a) General. Effective date of pension or compensation benefits, if otherwise in order, will be the date of receipt of a claim or the date when entitlement arose, whichever is the later. A report of examination or hospitalization which meets the requirements of this section will be accepted as an informal claim for benefits under an existing law or for benefits under a liberalizing law or Department of Veterans Affairs issue, if the report relates to a disability which may establish entitlement. Acceptance of a report of examination or treatment as a claim for increase or to reopen is subject to the requirements of Sec. 3.114 with respect to action on Department of Veterans Affairs initiative or at the request of the claimant and the payment of retroactive benefits from the date of the report or for a period of 1 year prior to the date of receipt of the report.(Authority: 38 U.S.C. 5110(a))
(b) Claim. Once a formal claim for pension or compensation has been allowed or a formal claim for compensation disallowed for the reason that the service-connected disability is not compensable in degree, receipt of one of the following will be accepted as an informal claim for increased benefits or an informal claim to reopen. In addition, receipt of one of the following will be accepted as an informal claim in the case of a retired member of a uniformed service whose formal claim for pension or compensation has been disallowed because of receipt of retirement pay. The evidence listed will also be accepted as an informal claim for pension previously denied for the reason the disability was not permanently and totally disabling.
(1) Report of examination or hospitalization by Department of Veterans Affairs or uniformed services. The date of outpatient or hospital examination or date of admission to a VA or uniformed services hospital will be accepted as the date of receipt of a claim. The date of a uniformed service examination which is the basis for granting severance pay to a former member of the Armed Forces on the temporary disability retired list will be accepted as the date of receipt of claim. The date of admission to a non-VA hospital where a veteran was maintained at VA expense will be accepted as the date of receipt of a claim, if VA maintenance was previously authorized; but if VA maintenance was authorized subsequent to admission, the date VA received notice of admission will be accepted. The provisions of this paragraph apply only when such reports relate to examination or treatment of a disability for which service-connection has previously been established or when a claim specifying the benefit sought is received within one year from the date of such examination, treatment or hospital admission.(Authority: 38 U.S.C. 501)
Edited by pacmanx1Link to comment
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