Hi everyone! I have a question please. I got my results from my HLR and I'm happy to say at least it wasn't a denial as I thought it would be. But, I'll admit that I'm a little perplexed on the what is being done and what is next, so I was hoping y'all could shed some light on this for me. Quick backstory. I filed a claim for my hips (secondary to my knees) and got a denial. The "favorable findings" were 1. I have a diagnosis, and 2. I have a service connection to it. What I was missing was a nexus to tie them together. I had an HLR interview last month and was sure it would be denied, but today I got the actual paperwork and here is what it stated.
Decision:
A duty to assist has been identified during the higher-level review for the left hip.
A duty to assist has been identified during the higher-level review for the right hip.
Reason for decision:
The issue of left hip strain was returned for correction of a duty to assist error in the prior decision. We failed to get an examination(s) and/or medical opinion(s). We will develop for clarification of medical opinion.
The issue of right hip strain was returned for correction of a duty to assist error in the prior decision. We failed to get an examination(s) and/or medical opinion(s). We will develop for clarification of medical opinion.
Basically that's it. So do I just sit back and continue to wait or what? The paperwork really didn't tell me I needed or should do anything.
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Ranmic
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jamescripps2 1 post
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Mr cue 1 post
Ranmic 1 post
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Mr cue
I would say yes they will have to wait until they order the exam an get the exam report. Before they will make a decision
brokensoldier244th
Someone should have identified that your condition was not yet ready to rate and didn't- either private medical had not yet arrived, or wasn't solicited for if you mentioned getting care elsewhere, bu
jamescripps2
I would think that the vba will order a new C&P, or at the least, ask the previous examiner for clarification or an addendum for more information on a previous exam. If you don't have a nexus
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