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 

  • homepage-banner-2024.png

  • donate-be-a-hero.png

  • 0

Service connection denied

Rate this question


Ivor333

Question

Hello! I would like to ask for advice or an opinion from anyone who knows what is going on. I had been denied service connection for my shoulders pain issue, I have medical records of going to physical therapy while in service, also MRI results ((done while in service) that that say I have rotator cuff partial tears. But way letter says what is on the picture. What should I do? P.S. VA examination was performed 6 months prior I got and MRI.

https://ibb.co/D8xTMk7

https://ibb.co/k8xqQy4

Link to comment
Share on other sites

  • Answers 6
  • Created
  • Last Reply

Top Posters For This Question

6 answers to this question

Recommended Posts

  • 0
  • Moderator

Resubmit it and point specifically to where/when in your STRS and your post-service records this treatment appears. If you have records, send them, don't assume that when VA requested them from the Service that what they got was complete- what I usually see is far from it and I have to more than one request. Usually someone else did one months or years ago, and I do another one and end up with more stuff that wasn't originally in the STR or personnel record. If you have private treatment send those, too, or at least fill out a 21-4142/4142a with the info on it that gives VA your authorization to request from that provider (its only good for a year, then it expires). 

 

 

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

Link to comment
Share on other sites

  • 0
  • Moderator

Resubmitting may work, however, unless you are actually awarded benefits, as a result of the resubmission, then be sure to appeal within the one year appeal period.  

I cant tell you how many Veterans regret "not filing an appeal" to a denial, to include me.  If you pass the one year appeal period and then appeal, the VA has a gorilla who stamps "claim denied" on all of them.  The one year appeal period is strictly enforced and the courts have also enforced the one year appeal period.  

Link to comment
Share on other sites

  • 0
  • Moderator

Also true, and also know that appeals are running about 2.5 years right now. 

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

Link to comment
Share on other sites

  • 0

With me i waited years after the denial my only savior was the VA was Wrong to Deny based of evidence and was called out as a CUE. But thats almost never the case so never let the window Close…

Link to comment
Share on other sites

  • 0

The BVA judges are more your friend on appeal than the VARO.  I know this from 30 years of successful experience handling my own claims and appeals to the BVA and U.S. CAVC.

I also learned that filing HLRs and even Supplemental claims with VARO was a waste of time and added many months to the time before I could appeal to the BVA.  

Your best bet is to appeal ASAP to the BVA if you believe you have strong supporting medical and other evidence to support your claim/appeal.  Let other turkeys worry about the national que, waiting times and log jams.

My comment/appeal is not legal advice as I am not a lawyer, paralegal or VSO.

combinededitedcroppedperkins507thDustoffmedevacUH-1Hrescuehoist.jpg.7c3053794369e014e2ea83de19f3fbaf.jpg

Link to comment
Share on other sites

  • 0
  • Community Owner

Here's my thought.

As I have no idea about any of the below if you have done any of it move on.

1. Sing up with http://Login.gov

2. The easiest way to submit documents is at https://access.va.gov/

3. Click on "I am a Veteran." this will take you to the next page.

4. Click on "Direct Upload."  You will login with your Loging.gov ID. It will take you to a page where you can upload your Documents from your computer. You will have to categorize what you are uploading in the system. It will generate an email receipt that you should save and print out and keep also.

You can also use this to submit your VA appeals forms. (21-0995 & 21-0996, BVA.) 

If it was me and you are under the 1 year appeal time. I would file a Supplemental Claim and state that you have new and material evidence. The new and material evidence is EXhibit "1" medical records of going to physical therapy while in service"., Exhibit "2" MRI from STR's, etc.(and I mark each doc with a cover that says Exhibit "X""XXXXXXX") 

The VA when they deny your claim is spouse to list all the evidence that they review. I would do the above even if they did list on or two of the doc's you are talking about in the denial letter. What this does is forces the VA to deny or admit that the information is or is not in the record. If they say its in the record than there should have given an opinion as to why its not relevant.

I would be interested in seeing the denial letter if you can up load it. (Redacted Please) I am sure others would be interested too.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • RICHKAY earned a badge
      One Month Later
    • pacmanx1 earned a badge
      Great Content
    • czqiang1079 earned a badge
      First Post
    • Vicdamon12 earned a badge
      Week One Done
    • Panther8151 earned a badge
      One Year In
  • 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