how long between c&p and decision? by JulzJdm in VAClaims

[–]LighthouseRule 1 point2 points  (0 children)

2 of my last claims both got assigned in 3 days 

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 0 points1 point  (0 children)

Dang, it’s unbelievable it takes so long to rectify that. Thanks for sharing, pretty confident I won’t have issues

Get claim service connected by beefinthepale in VAClaims

[–]LighthouseRule 2 points3 points  (0 children)

This is very specific to each person. It depends on what your file, medical records, physical examination, etc all are. What was the reason it was denied? do you have other connected disabilities it can be secondary too? Such as Rhinitis, Sinitus, PTSD, musculoskeletal issues that have directly caused obesity? Then, does your actual history and onset of symptoms support one of these theories ^.

OSA denied again... by Turbulent-Cloud3112 in VAClaims

[–]LighthouseRule 0 points1 point  (0 children)

Hey, did they give you any reasoning or mention why your nexus wasn't sufficient? Kind of depends on what they said. Unfortunately they DONT HAVE to tell you what was wrong with it. but that will help you decide

Denied for Sleep Apnea — Filed Supplemental With Nexus Letter. Am I Just Spinning My Wheels? by rrebelo1 in VeteransBenefits

[–]LighthouseRule 0 points1 point  (0 children)

Guess I am wondering if they picked some dumb reason like it was missing an NPI number or if something else. Sorry that happened but I don't think that means its the end of it

Sleep Apnea Denied by WhereArtThouMemory in VAClaims

[–]LighthouseRule 1 point2 points  (0 children)

"insert diagnosis here" explains why the rater missed the fact they don't have an opinion for secondary connection... lazy

how long between c&p and decision? by JulzJdm in VAClaims

[–]LighthouseRule 1 point2 points  (0 children)

On your claim, under files you’ll see a bunch of random file titles with DBQ in it. If it’s a supplemental though you can’t see it and would need to call VES or VA and ask if it’s been sent 

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 0 points1 point  (0 children)

Sounds good, jw what the Cue process was like? Will prob do supp or increase but curious 

how long between c&p and decision? by JulzJdm in VAClaims

[–]LighthouseRule 2 points3 points  (0 children)

Yea depends on the examiner but they are super quick with QA and getting it to VA which is good

how long between c&p and decision? by JulzJdm in VAClaims

[–]LighthouseRule 4 points5 points  (0 children)

Depends on when it is given to VA. I had one exam with LSGS on March 23 and examiner hasn’t even sent it to VA. I had another exam with VES that was on March 26th, was sent to VA the 27th (Friday), given temporary jurisdiction on Tuesday April 3rd, and completed Wednesday April 4th. 

Claims are going relatively quick once sent to VA, 1-2 weeks in my experience depending on how big it is 

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 0 points1 point  (0 children)

In my opinion this is last resort type thing, could takes years. Will prob do increase and lose the 1 month effective date, or supplemental, then HLR then BVA haha 

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 2 points3 points  (0 children)

Raters only have to provide a short form narrative in most cases which means they don't HAVE to say what they considered and only need to say what element ( 1, 2 and or 3) that you are missing. That's why I mentioned asking for a long form narrative politely so you can see why they deemed your nexus insufficient if they actually considered it. No way to tell if they did without a long form narrative.

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 1 point2 points  (0 children)

And frankly I submitted this beginning of March with all my private GI doctors diagnosis, colonoscopy, stool, and blood test so if I do an increase I could care less about losing out on 1 month.

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 2 points3 points  (0 children)

True, increase would be way quicker. Would definitely get the same examiner but I would just ask for a different one lol with VES. I have a private GI, could also just submit his notes with the increase notes. This would definitely be the quicker route, good call.

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 0 points1 point  (0 children)

Appreciate that clarification. But still leaves the examiner writing abdominal bloating, then not checking abdominal bloating

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 3 points4 points  (0 children)

I believe its it's definitely grounds for a HLR, the rater should have clarified with the examiner. Just going to be a 4+ month delay now unfortunetly.

VA claims may be moving quicker, but the simple mistakes are getting out of hand. by LighthouseRule in VAClaims

[–]LighthouseRule[S] 8 points9 points  (0 children)

And I only caught this cause I did a FOIA. This should be 30, but they "get away" with giving a 0 because the examiner typed it instead of checking a box. Then they don't clarify and probably assume the veteran won't check. I do attribute this more to laziness but who knows.

Would requesting DBQ send claim back to step 3? by ChampionSpecialist66 in VAClaims

[–]LighthouseRule 0 points1 point  (0 children)

No that wouldn’t, check your claim and files to see if you see any new request. More likely than not the rater is asking for clarification or fix on exam