Other conditions decisions — 2024

The VA denied payment for non-VA COVID-19 testing provided to the Veteran on January 5, 2021 due to lack of prior authorization.

The Board dismissed the appeal as the claim for payment of non-VA medical services provided by Aegis Sciences Corporation on May 27, 2020, was resolved administratively and paid in full.

The Veteran did not serve during a period of war recognized by VA, thus denying eligibility for survivors' pension benefits.

The Veteran's current representative filed a challenge to the validity of an overpayment of $7,663.01 related to attorney fees for VA compensation benefits awarded in May 2023. The Board finds that this matter should be remanded for further action including an audit of any overpayment made and consideration of whether sole VA administrative error led to its creation.

The Board has decided to remand the case due to incomplete military personnel records and a need for additional investigation into the appellant's misconduct during service.

The Board dismissed the appeal as all dates of care for non-VA medical services provided to the Veteran have been administratively approved and paid by VA. The appellant was informed that payment is less than the full amount billed, but may request review if disagreeable.

The appeal for payment or reimbursement of non-VA medical services provided on November 28, 2019 is dismissed as the claim was filed past the 90-day timely filing requirement.

The VA denied payment for a non-VA COVID-19 test provided to the Veteran on January 12, 2021 due to lack of pre-authorization.

The Veteran's claim for reimbursement of medical expenses incurred on January 6, 2019, at Baton Rouge General Health Center (BRGHC) was denied due to untimely filing and lack of evidence. The appeal is remanded as the AOJ must provide a clear explanation for the denial and consider any additional evidence.

Your claim for a Total Disability Rating Based on Individual Unemployability (TDIU) has been resolved fully by the Board of Veterans' Appeals. The TDIU was granted effective June 15, 2019, which is the day following your discharge from active duty service.

The Board denied a compensable rating for the Veteran's left fourth finger fracture, finding that his symptoms did not warrant a higher evaluation under the applicable VA rating criteria.

The Veteran's small vessel ischemic disease is granted as secondary to his service-connected diabetes mellitus.

The Veteran's claim for an earlier effective date for TDIU is denied as there was no pending or unadjudicated claim prior to December 18, 2019.

The Board has remanded the Veteran's claims for service connection for left hand and right hand tremors due to a pre-decisional duty to assist error. The AOJ must obtain an addendum opinion from an appropriate clinician regarding whether the Veteran's bilateral hand tremors are related to his participation in a TERA, including high stress situations during active service.

The Veteran's eligibility for PCAFC benefits is being remanded due to a lack of proper notice and the need to correct the statutory criteria used in the initial determination.

The Board denied the Veteran's claims for service connection for left hand numbness and tingling, right hand numbness and tingling, left foot numbness and tingling, and right foot numbness and tingling. The Board found no current diagnoses of these conditions.

The Veteran's cause of death, mantle cell lymphoma, was not determined to be service-connected as it did not arise from or is etiologically related to his military service.

The Veteran's service was found to be less than 90 days, thus he did not meet the eligibility criteria for nonservice-connected pension.

The Board has decided that the Veteran's claim for additional VA educational assistance benefits under the Post-9/11 GI Bill needs further review due to incomplete information and requires a full accounting of all months and days of educational assistance used by the Veteran.

The Veteran's service-connected adjustment disorder is rated at 100 percent effective August 29, 2019. Additionally, the Veteran is granted SMC at the housebound rate due to his other service-connected disabilities.