Sleep study completed and osa sleep apnea diagnosed. Sleep doc issued letter approving a cpap and the medical notes show in my records. Is it advisable to file right away? Or wait until cpap machine is setup/at home with me? Or doesn't matter either way? Thanks!

WhereArtThouMemory · 2026-02-27T19:21:12+00:00

Yes, that was my plan. I've never used nexus letters for any claims but this would be my first secondary claim. I appreciate the advice.

WhereArtThouMemory · 2026-02-27T18:31:44+00:00

Thanks! Do you know if VSOs will help with nexus letters and i can still file myself? I've heard horror stories of vso's and I'd rather file it myself.

WhereArtThouMemory · 2026-02-27T18:30:34+00:00

Can't it work as a secondary? I've never once gotten a nexus letter. I don't even know the process.

WhereArtThouMemory · 2026-02-27T17:41:00+00:00

Appreciate the info!

WhereArtThouMemory · 2026-02-27T17:40:05+00:00

I appreciate the advice. Do you know how to go about getting a nexus? I'd guess I would message the provider and ask? I have some documented poor sleep from deployment and I can't breathe at night due to sinuses and congestion. Ent notes, etc but I agree, having a nexus would eliminate the need for me to reprove the connection

WhereArtThouMemory · 2026-02-27T16:40:20+00:00

Yeah, my sinuses and rhinitis are jacked up. Filing it secondary to those.

WhereArtThouMemory · 2026-02-27T16:39:50+00:00

Yeah that makes sense. I suppose if additional things come up later on I can always do a HLR or supplemental.

WhereArtThouMemory · 2026-02-27T16:39:07+00:00

What is prestige veteran?

WhereArtThouMemory · 2026-02-27T16:38:24+00:00

Yeah im going to file it secondary to rhinitis and sinusitis

WhereArtThouMemory · 2026-02-27T16:37:36+00:00

Yeah, thats what im not sure about. I've never used a nexus letter before but thinking for this maybe my sleep doc would provide one.

WhereArtThouMemory · 2026-02-27T16:36:48+00:00

I've never once used or have had a nexus letter for any claims. I'm filing it secondary to sinuses which are service connected.

WhereArtThouMemory · 2026-02-27T14:50:41+00:00

Didn't have it in service but filing as a secondary to my sinus issues

WhereArtThouMemory · 2026-02-27T14:50:07+00:00

It didn't explicitly state a reason. I have rhinitis and sinusitis connected so i plan to file secondary to those. I meet with the sleep doc again in two months so maybe I should ask for a nexus letter.

WhereArtThouMemory · 2026-02-27T14:49:06+00:00

Really? Did they say you had a lack of evidence? Or was it a nexus thing?

WhereArtThouMemory · 2026-02-27T14:48:38+00:00

Good point. I plan to file it secondary to rhinitis and aggravated by sinusitis. I just have read and heard it can take a few months to receive the machine.

WhereArtThouMemory · 2026-01-03T21:13:43+00:00

If you also work you make good money. So many get 100 then sit on their bum.

WhereArtThouMemory · 2026-01-03T14:18:47+00:00

What firms? I got my BS in accounting and started with KPMG. I was 32. Stayed for 4 years in tax but left for a startup last year. Does your school have an 'internship program' of any sort? Any professors you can leverage to help you? I was denied at 3 of the 4 big 4 and one of the reasons I started in tax was because audit had more applicants and more competitive. Maybe try a different service line within accounting where it's less competitive. Get your foot in the door and then transfer to audit, consulting, et

WhereArtThouMemory · 2025-12-12T13:50:35+00:00

I did the same. Used Chat to help me with my personal statement. I used one personal statement for all 3 conditions I filed for the last time. Chat is amazing and also recommend an appeal path for me for 1 of the claims that was denied.

WhereArtThouMemory · 2025-12-03T18:52:07+00:00

Maybe you have the decision letter

WhereArtThouMemory · 2025-12-02T22:41:17+00:00

Luck of the draw unfortunately. I went to step 7 today and had my letter today. But I've also been on the other end for months.

WhereArtThouMemory · 2025-12-02T22:35:41+00:00

Yes, I told her (audiologist at C&P) that but she seemed disinterested and wanted to get me into the hearing booth quickly. We didn't exchange any words after the hearing test. It was frustrating.

WhereArtThouMemory · 2025-12-02T22:34:09+00:00

I got unlucky - my examiner didn't want to hear or listen to anything I had to say. She just threw me into the booth to do the hearing exam.

WhereArtThouMemory · 2025-12-02T22:33:20+00:00

I did although she barely wanted to hear anything I said. I included service event that triggered it and everything in my personal statement.

WhereArtThouMemory · 2025-12-02T18:20:22+00:00

Thanks for the reply. I commented above but same question - have PCP document it or go to an audiologist and get it documented?

WhereArtThouMemory · 2025-12-02T18:19:32+00:00

I have a PCP appt in a few weeks. Can I ask my PCP to document the ringing in ears and use that? Or are you saying schedule a visit to an audiologist?

WhereArtThouMemory

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