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

Denied Claim - Reversed - Rating ?

Rate this question


Guest haroldkd

Question

Guest haroldkd

If you get an old denied claim (for not service connected) reversed. They never put a rating on the old claim because it was stated as not service connected. Where do you get a rating.

In my case they are giving me a 10 per cent rating on the scleredema that they have stated is service connected. But that rating only goes back to August of 2004.I am putting in a NOD for that rating to be increased

and requesting a scars rating because all of the problems with the disease is on the back of the head and neck and underlying thick skin and headaches caused by this. Also limited neck and head motion.

I am also going to try to put a nexus between the '61 decision and the present decision.

And/Or if that fails would they give a rating from the medical reports and file from 1961 or would the rating be " 0 "? ?

Link to comment
Share on other sites

  • Answers 8
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

If you get an old denied claim (for not service connected) reversed. They never put a rating on the old claim because it was stated as not service connected. Where do you get a rating.

In my case they are giving me a 10 per cent rating on the scleredema that they have stated is service connected. But that rating only goes back to August of 2004.I am putting in a NOD for that rating to be increased

and requesting a scars rating because all of the problems with the disease is on the back of the head and neck and underlying thick skin and headaches caused by this. Also limited neck and head motion.

I am also going to try to put a nexus between the '61 decision and the present decision.

And/Or if that fails would  they give a rating from the medical reports and  file from 1961 or would the rating be " 0 "? ?

<{POST_SNAPBACK}>

Was the 61 rating "not service connected" for scleredema?

Link to comment
Share on other sites

undefined I think, that if you had a claim for service connection for scleroderma in 1961, and now VA grants a 10 percent for the same, you probably had a link all along for service connection for scleroderma. You probably could go back to 1961 and get retroactive pay. Make sure that in your NOD you request retroactive pay back to 1961, also request for and increase do to your thickening scars of back of head and neck, causing increased headaches and limiting head motion. If you are taking meds you should mention the side effects. Hope this help.

If you get an old denied claim (for not service connected) reversed. They never put a rating on the old claim because it was stated as not service connected. Where do you get a rating.

In my case they are giving me a 10 per cent rating on the scleredema that they have stated is service connected. But that rating only goes back to August of 2004.I am putting in a NOD for that rating to be increased

and requesting a scars rating because all of the problems with the disease is on the back of the head and neck and underlying thick skin and headaches caused by this. Also limited neck and head motion.

I am also going to try to put a nexus between the '61 decision and the present decision.

And/Or if that fails would  they give a rating from the medical reports and  file from 1961 or would the rating be " 0 "? ?

<{POST_SNAPBACK}>

Edited by rigo
Link to comment
Share on other sites

Guest haroldkd

They first diagnosed this as multiple sebaceous cysts, chronic, recurring of the back of the neck in 1961 and said they were costitutional or developmental abnormalty not a disability under the law.

In the decision July 22, 2005 it says and I quote

Service connection for scleredema (also claimed as miltiple bumps and infection on the back and sides of the head and previously denied as multiple sebaceous cysts on the back of the neck) has been established as directly related to military service.

Although scleredema is a congenital condition, service connection is granted because it may be triggered by infection and in this veteran's case, it first arose while he was on active duty. a 10% evaluation is assignedd because none of the requirements for a 30% evaluation is shown. The effective date of the grant of service connection is 7-24-04, the date of receipt of the veteran's reopened claim.

There is a lot to this old denial but I will fight thru there double talk and try to win this battle.

The big thing on going back is that it was in the diagnosis chronic and recurring

that would have brought into play 38 CFR 3.303 (B) Principles relating to service connection That would have made this skin problem service connected. And that regulation was brought in - - - NOTE (26 FR 1579, Feb. 24, 1961 ) 8 months before the decision in 1961

Link to comment
Share on other sites

The diagnoses of scleroderma in the claim of July 22, 2005 for the same signs and symptoms that the veteran suffered in 1961, the diagnoses of scleroderma in 2005 made the rating decision of 1961 also service connected.

They first diagnosed this as multiple sebaceous cysts, chronic, recurring of the back of the neck in 1961 and said they were costitutional or developmental abnormalty  not a disability under the law.

In the decision July 22, 2005 it says and I quote

  Service connection for scleredema (also claimed as miltiple bumps and infection on the back and sides of the head and previously denied as multiple sebaceous cysts on the  back of the neck) has been established as directly related to military service.

Although scleredema is a congenital condition, service connection is granted because it may be triggered by infection and in this veteran's case, it first arose while he was on active duty. a 10% evaluation is assignedd because none of the requirements for a 30% evaluation is shown. The effective date of the grant of service connection is 7-24-04, the date of receipt of the veteran's reopened claim.

There is a lot to this old denial but I will fight thru there double talk and  try to win this battle.

The big thing on going back is that it was in the diagnosis chronic and recurring

that would have brought into play 38 CFR 3.303 (B) Principles relating  to service connection That would have made  this skin problem service connected. And that  regulation was brought in - -  -  NOTE  (26  FR 1579,  Feb. 24, 1961 )  8 months before the decision in 1961

<{POST_SNAPBACK}>

Link to comment
Share on other sites

Guest VetWife Advocate
If you get an old denied claim (for not service connected) reversed. They never put a rating on the old claim because it was stated as not service connected. Where do you get a rating.

In my case they are giving me a 10 per cent rating on the scleredema that they have stated is service connected. But that rating only goes back to August of 2004.I am putting in a NOD for that rating to be increased

and requesting a scars rating because all of the problems with the disease is on the back of the head and neck and underlying thick skin and headaches caused by this. Also limited neck and head motion.

I am also going to try to put a nexus between the '61 decision and the present decision.

And/Or if that fails would  they give a rating from the medical reports and  file from 1961 or would the rating be " 0 "? ?

<{POST_SNAPBACK}>

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