- April 3, 2024
- Posted by: legaleseblogger
- Category: Related News
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## Are you still waiting on your claim? Or have you conquered the VBA Juggernaut?
Have you been patiently waiting for your claim to be processed, or did it zoom through the system this week? Use this thread to share your experience with the VA claims process and celebrate your victory against the VBA Juggernaut!
For those who have successfully navigated the claims process, consider sharing your story in our sister subreddit: r/VeteransSuccess.
### How AI Legalese Decoder can help with your claim:
If you’re struggling to understand the complex legal language in your claim documents, AI Legalese Decoder can help simplify and clarify the content for you. By using AI technology, the decoder can break down the jargon and provide you with a clear explanation of your rights and entitlements.
### Claim Status Template:
– Type of claim: (New, Original, Supplemental, Increase, etc)
– Submitted/received date:
– Initial review date:
– Evidence gathering/review date:
– PFD date:
– PDA date:
– PFN date:
– Completed date:
– Misc details:
### To tag specific users in replies on Reddit:
To notify specific users in your replies, simply type “u/username” with a lowercase “u”. This will alert the user to your response.
### Helpful Links:
– [Current average wait time for claims](link)
– [Learn more about the stages of a claim](link)
– [List of benefits based on combined disability evaluations](link)
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****** just grabbed a
HLR Conference Today (wish me luck)
Original claim filed October 2023.
Denied 1/13/24.
HLR Filed 1/14/24
HLR Granted 2/19/24 but wrong effective date
Supplemental claim filed 2/21/24
Supplemental claim denied 3/11/24
HLR submitted 3/19/24
Wish me luck!
Type of claim: New
Submitted/received date: 12/08/23
Initial review date: 12/08/23
Evidence gathering/review date: 12/14/23
PFD date: N/A
PDA date: N/A
PFN date: N/A
Completed date: N/A
Misc details: Had my C&P on Wednesday 03/27/24 and 3 DBQ’s were submitted Saturday. MST/Mental Health claim due to Schizoaffective Disorder (Depressive Type), previously diagnosed as MDD.
Think I’m officially in the waiting phase.
* Type of claim: Initial
* Submitted/received date: 8/24/23
* Completed date: 4/1/24
* Misc details: Filed for 16 total conditions. Still have supplementals for herniated disc in back, hip strains, radiculopathy in both legs, and PTSD. Was originally denied on all but 5 conditions (sleep apnea, gallbladder removal, scarring, tinnitus, and other specified trauma with MDD), which were deferred.
Unless it is an elaborate April Fools joke, I was approved for tinnitus (10%) and other specified trauma (50%) for a 60% total. I’m really pleased. I still plan on pursuing the sleep apnea and gallbladder, maybe as secondary to my mental issues. Plus, I’m really hoping for a good result with my supplemental. My doctor is putting off writing me a nexus on my back and hips with radiculopathy because I think he’s super busy, but now I can always pay for one if I need it. And for some reason, they split my PTSD claim into two different things. I didn’t have an “official” diagnosis of PTSD, but I do now. I know it will pyramid or whatever, but if I could get that to 70%, I think it might be a bit more accurate to my actual mental conditions.
With the back and other stuff still ongoing, I’m hoping I can get close to 100% when it’s all said and done. I’m in Illinois, so 70% would eliminate my property taxes. I’ve got to strategize some on seeing what I can do as far as secondary conditions and stuff, but I am very happy with this result so far.
I did 4 years active, 22 guard, deployed basically every chance I got until I retired. I feel like this is deserved. I won’t get my retirement until I’m 59, but having this now is amazing for me. And my wife will get it if something happens. I’m extremely happy. I was thinking that I would have problems with all those years guard, but I really did deploy a lot and went through a lot in those 26 years. I’m just trying to get what I feel is owed to me.
I have been working for the past 6-9 months to get my rating. I retired from the USAF back in 2013 and took a job deploying. While deployed I missed my VA C&P appointment. From everything I had been told, that was it. End of the road. Well, turns out that isn’t true. So, I began to file claims for any and everything I felt was even closely related to what I thought I was entitled to. The appointments started to come in over the next couple weeks and months. It started with a 10% rating and I thought I hit the jack pot! Then another for an additional 20%. Well, today I log into my VA account and at the top of the banner it shows my rating is now 80%! I have reached where I think I should be rated and have everything covered that I filed for. Moral of the story, never give and keep fighting the good fight. Get what you are entitled to!
Really hoping we’re getting to the end here.
• Type of claim: Initial
• Submitted/received date: 5 Aug 2023
• Initial review date: 7 Aug 2023
• Evidence gathering/review date: 8 Aug 2023
• C&P: 25 Aug 2023, 26 Aug 2023, 20 Oct 2023, 1 Mar 2024, 27 Mar 2024
• PFD date: 28 Mar 2024
• PDA date: n/a
• PFN date: n/a
• Completed date: n/a, see Supplemental
• Misc details: Filed tinnitus, respiratory issues, PTSD-MST, and IBS. Partial denial IBS 8 Dec 2023, see Supplemental. Got private diagnosis of rhinitis w/polyps, chronic sinusitis, and asthma.
Now I’m fighting the denial too.
• Type of claim: Supplemental
• Submitted/received date: 25 Mar 2024
• Initial review date: n/a
• Evidence gathering/review date: n/a
• PFD date: n/a
• PDA date: n/a
• PFN date: n/a
• Completed date: n/a
• Misc details: After a verbal C&P then denial for not having IBS diagnosis, I sought civilian care. After a ton of testing I found I have a rare pancreas disorder (exocrine pancreatic insufficiency) that I have no medical explanation for its cause. I submitted a supplemental with a current diagnosis, DBQ, 4 test results, and a personal statement. Really hoping this is enough.
* Type of claim: Original, claiming 5 things
* Submitted/received date: 11 DEC 23
* Initial review date: 12 DEC 23
* Evidence gathering/review date: 15 DEC 23
* PFD date: 1 MAR 24
* PDA date: N/A
* PFN date: N/A
* Completed date: N/A
* Misc details: No temp jurisdiction yet.
* Type of claim: Increase
* Submitted/received date: **February 23, 2024**
* Initial review date: **February 23, 2024**
* Evidence gathering/review date: **February 27, 2024**
* PFD date: **March 12, 2024**
* PDA date: **March 14, 2024**
* PFN date: March 30th, 2024
* Completed date: April 1, 2024 (100% P&T thank god)
* Misc details: Increase for MH
* Type of claim: New
* Submitted/received date:(intent date 08/23) official date 2023-10-27
* Initial review date:2023-11-08
* Evidence gathering/review date:2023-11-28(2024-03-15)
* PFD date:2023-12-20
* PDA date:2024-03-08
* PFN date:2024-03-14, 2024-03-27
* Completed date:
* Misc details: Been sitting on my second PFN since the 27th. Needless to say its been a long weekend. as of 10 AM today still no letter on the app/website. The only thing i am worried about is that i finally went to the Ebenifits site and it has my headaches listed as TERA instead of secondary so in my head that gonna be a denial because i dont qualify for TERA to my knowledge. I even mentioned in my C&P that i was claiming my headaches secondary. Maybe im reading to much into it. Either way im waiting for this to close out so i cna hit up my local VSO for assistance in getting my Knee approved. Good luck to everybody!
7 claims (tinnitus(APPROVED), migraine(relabeled as tension headaches)(DEFERED), knee condition(DENIED though service connected event proved), both wrists(DEFERED), Sleep Apnea(DENIED), back pain(DENIED).)
CNP Exams 2023-11-22, 2023-12-08, 2023-12-12 (ACE EXAM 2024-03-21 no call)
* Type of claim: Increase on one issue (PTSD r/t MST)
* Submitted/received date: Submitted 12/1/2023
* Initial review date: 12/2/2023
* Evidence gathering/review date: 12/22/2023
* PFD date: 2/11/2024
* PDA date: N/A
* PFN date: N/A
* Completed date: N/A
* Misc details: VERA call on 3/29/2024, stated I should have a decision in 10 days which sounded like a load of crap since it’s still in NWQ. I am at 122 days today
Type of claim: (New, Original, Supplemental, Increase, etc)- New
Submitted-11/2/2022
Received date: 08/10/2023
Initial review date: 01/07/2024
Evidence gathering/review date: 01/24/2024
PFD date: n/a
PDA date: n/a
PFN date: n/a
Completed date: n/a
Misc details: This is my first claim. Been discharged from the Corps over 30yrs. No movement since 01/24/2024. VERA told me last week they have everything they need, but the MST/PTSD claims as we know are slower. I do have foot and wrist issues claimed too. No C&P yet. Mine got stuck as I filed in 2022, and I’m really hoping for something positive to start happening. I’m trying to hang in there and wait patiently, but it’s tough.
Type of claim: initial
• Submitted/received date: 09/19/2023
• Initial review date:11/28/2023
• Evidence gathering/review date:12/01/2023
• PFD date:none
• PDA date:none
• PFN date:none
• Completed date:none
Still stuck at gathering evidence for some reason even though all my exams have been submitted for months.
Two Claims
•. Type of claim: HLR/DTA
• Submitted/received date: 4-12-2023
• Initial review date: n/a
• Evidence gathering/review date: November? – Ace Exam 12/28/2023 – C&P Exam 3/16/2024
• PFD date: 3/26/2024
• PDA date: N/A
• PFN date: N/A
• Completed date:
• Misc details: VERA let me know my claim was assigned a rater on 3/26. I’m assuming I’ll get a decision soon.
Claim 2
•. Type of claim: Supplemental
• Submitted/received date: 2/26/2024
• Initial review date:
• Evidence gathering/review date: ACE Exam was on 3-6-2024 and it moved to decision phase
• PFD date: N/A
• PDA date: N/A
• PFN date: N/A
• Completed date: N/A
• Misc details: this is for migraines. I don’t expect any movement until June or July.
* Type of claim: Increase: Sciatic Nerve Left Side New: PTSD
* Submitted/received date: Intent 8/23 Filed 12/08/23
* Initial review date: 12/11/2023
* Evidence gathering/review date: 12/11/2023
* PFD date: 03/06/2024
* PDA date: N/A
* PFN date: N/A
* Completed date:
* Misc details: Filed for Increase for Sciatic Nerve Left Side C&P was 2/6/2024 Doctor found other issues during the C&P exam and submitted a total of 3 DBQ’s on 2/27/24. New Claim for PTSD C&P was 3/4/24 DBQ was uploaded on 3/6/2024 claim went PFD the same day. So I an not so patiently waiting in line.
* Type of claim: Higher Level Review (HLR)
* Submitted/received date: May 2023
* Initial review date: May 2023
* Evidence gathering/review date: August 2023
* Duty To Assist Error: September 2023
* C&P Exam: March 9, 2024
* Ready For Decision date: March 11, 2024
* Temp jurisdiction assigned: March 22, 2024
* Still waiting for further movement. VERA told me last week they have everything they need but there’s a 30 day time frame that begins when they receive the C&P paperwork, so expect something around April 10, 2024.
My HLR for Pact Act (TERA) asthma was finally rated. I was given 30% from back to Feb 22. And up to 60% this past January 2024.
https://preview.redd.it/tr2drjzim9sc1.png?width=783&format=png&auto=webp&s=b851f4a7f0cd4eb8ddfb17e8b09a1f525ab06a8e
The sad part is, this is all part of my initial claim in 2011. They denied my back claim because they found a fall in my records from 2013. But I filed in 2011 so I couldn’t possibly know I was going to fall two years later. They also never did a C&P for the back. After several years of fighting they finally gave me 40% but the American Legion stepped up and said we can do better. So, I appealed again. And the court agreed that my case had been messed up since day one and that I needed a C&P. That case was remanded in June of last year. They finally moved it along in December. I had a C&P in mid-December and all the notes were filed on 24 December. There is no reason that we should be approaching a year in this process. I’ve called VERA twice and they’ve been about as vague as the VA.
I also have a dependency change that I filed in January of 24. It was rejected. Strange thing about that is that it was a request to remove my son who is no longer in college. No reason to reject that. And yet, they haven’t told me why they rejected it and keep sending me the payment. When I pointed out that the VA’s own website states that a dependency change usually takes 48 hours, the person on the phone told me that they no longer adhere to those time standards.
Type of Claim: Initial/Standard; 10 conditions submitted, still waiting on 2 conditions to be rated/determined
ITF: 17 Feb 23
Submitted: 7 Aug 23
Initial Review: 8 Aug 23
–> First four conditions were rated on 27 Dec 23, second two came in Jan 24. Awaiting last two. <–
C&P: 12 Jan 24; this was actually the second C&P to assess the same conditions examined before (back in Aug/Sep/Oct or so).
Evidence Gathering: 5 Feb 24
PFD: 28 Mar 24
PFN: 3 Apr 24 (one of my kid’s birthdays, so it’s especially joyous today!)
Super excited that this first claim is **FINALLY** almost done!
Type of claim: New (first ever)
Submitted/received date: 30 Oct 2023
Initial review date: Dec 2023
Evidence gathering/review date: Jan 2024
PFD date: 30 Mar 2024
PDA date: 1 Apr 2024
PFN date: 3 Apr 2024
Completed date: N/A
Misc details: keeps oscillating between PDA and PFN. Looks like an exam rework was ordered so possibly will be a partial decision or will get kicked back to PFD until the rework is complete. They aren’t kidding when they say that PFN purgatory is rough!
Type of claim: initial
Submitted/received date: 12/21/2023
Initial review date: 11/16/2023
Evidence gathering/review date: 03/08/2024
PFD date: 03/08/2024
PDA date: N/A
PFN date: N/A
Completed date: N/A
Misc details: filed while still active, but not before the 90day mark to get in the expedited program that guarantees you get your rating before your final out. So then I was put into this other expedited program that should have guaranteed I got my rating 90 days after my final out which should have been 03/21/24. Still waiting. Been in PFD since 03/08/24. Feeling discouraged
Type of claim: 1st new/sup
2nd supplemental
Submitted/received date: 11/1/23 & 1/17/24
Initial review date:12/15/23 &1/18/24
Evidence gathering/review date: 1/8/24 & unknown
PFD date:N/A
PDA date:N/A
PFN date:N/A
Completed date: according to Vera 4/13/24 &4/30/24
Misc details:1st C&P done on 1/31/24 didn’t upload u til 3/30/24
2nd C&P 2/13/24 uploaded next day
3rd C&P 3/12/24 uploaded same day
4th C&P 3/17/24 uploaded same day
VERA call today said my supplemental is ready for decision and should be done by 4/13/24.
My first claim tenative 4/30/24 saw a note claim is over 150 days old and is waiting on a rater.
Type of Claim HLR submitted 27Oct2023
HLR conference 11Mar2024 – done by my lawyer
DTA error on both my MH claim and GERD claims
14Mar2024 – VA identified errors
VERA call on the 28th and they told me my next suspense date is 22Apr2024
I started the MH and GERD claims back in Oct2022. First denials for both were Feb2023. Did a supplemental for MH secondary to my tinnitus with a Nexus letter and private DBQ. Denied again, rater went with the C&P examiner over my IMO. Rerouted with persoanl statement, buddy letters, medical journals and denied again Sept2023. Got tired of dealing with the VA and just got a lawyer to run this process back in Oct2023.
I know there are plenty of success stories just DIY’ing it but I’m tired of it and will just let my lawyer take a cut so I can focus on other things.
Submitted 12/5/23
Initial review 12/6/23
C&P with VES 12/22/23
PFD 12/27/23
PFN N/A
No temp jurisdiction. Tomorrow is 120 days since filing, 97 days PFD.
* Type of claim: NEW Full Developed
* Submitted/received date: March 27 2024
* Initial review date: March 28th 2024
* Evidence gathering/review date: April 2nd 2024
* PFD date: n/a
* PDA date: n/a
* PFN date: n/a
* Completed date:
* Misc details: Filled Tinnitus (Nexus, personal stmt), Ptsd (nexus, buddy, Personal stmt), Rhinitis (personal stmt), Flat Feet (Nexus, Buddy, Personal stmt). Each of these have a diagnosis too. Albeit, most are very recent. Haven’t had any C&P’s yet. Claim has moved pretty quick so far.
Type of claim: New and Increase
Submitted: December 22, 2023
Initial Review Date: December 22, 2023
Evidence Gathering/Review Date: March 15, 2024
PFD Date:
PDA Date:
PFN Date:
Completed Date:
Misc Details: Currently in QTC purgatory. Providers say they have passed everything to QTC and QTC says they are waiting on provider. I’m calling both daily. This is my third claim. Initial was in 2016. Did another in 2018. After reviewing my records and reading this sub I am doing my third claim.
Love this sub!
HLR
Jan 2022
8/23 dta found
2/13/24 exam done
2/15 PFD
——
Increase MH & Leg
March 12
C&p March 27
PFD March 27 (says they recommended a decision just needs to be approved by a senior officer )
—-
REE MEDICAL SUCCESS
https://preview.redd.it/qcdgp7pt85sc1.jpeg?width=1290&format=pjpg&auto=webp&s=b51a24fb8ba5e8896421d944da4b38ec00042292
I’m not here to sway anyone, just sharing my success with REE
ITF: 4/27/23
Paid REE $2,400 (Memorial Day discount) 7/17/23
Mini DBQs and questionnaire : 7/18/23
Sent medical records and private medical records 7/26/23
Contacted by REE to make an appointment with their doctor: 8/20/23
Appointment date : 9/26/23
Doc sends DBQ to VA: 11/27/2023
Initial review : 11/27/23
PFD: 12/4/23
120 days later (Va taking too long, REE attorney sends 4138 for me to fax them)
PDA: 4/1/24
PFN: 4/2/24
Complete: 4/2/24 100% P&T Total days after submitting 127 days