Other conditions decisions — 2024

The Board has dismissed the appeal for payment of non-VA medical care provided by Aegis Sciences Corporation (ASC) on February 1, 2021 due to the lack of prior authorization and the governing statutes and regulations do not allow for Board review in this matter.

The appeal is dismissed as the claim for payment of non-VA emergency medical services provided from October 15, 2020 to October 16, 2020 has been resolved by administrative action.

The appellant requested to withdraw their appeal for accrued benefits, and the Board has dismissed it.

The Board has granted an initial rating of 70 percent for the Veteran's other specified trauma and stressor related disorder, but has remanded the issue of TDIU due to insufficient evidence in the record.

The Board has dismissed the appeal as there is no administrative review process for disputes regarding contractual payment rates under Veterans Care Agreements (VCAs). The case does not involve service connection.

The Board has dismissed the appeal because it does not have authority to review disputes over contractual payment rates for home health services provided under Veterans Care Agreements (VCAs). The dispute is resolved through a specific administrative process within VA.

The Veteran's dysphagia is being remanded for further development due to a lack of adequate medical opinion regarding its cause or aggravation by his service-connected disabilities, including traumatic brain injury with anxiety disorder.

The Board has dismissed the appeal as there is no administrative review process for disputes related to contractual payment rates under Veterans Care Agreements (VCAs).

The Veteran withdrew his appeal for a total disability rating based upon unemployability due to service-connected disabilities (TDIU) prior to the Board's decision.

The appeal for payment or reimbursement of non-VA medical services provided on July 30, 2020 is dismissed because the claimant (US Acute Care Solutions) did not provide the underlying medical services and is not a proper claimant.

The Board has denied the Veteran's claim for service connection for adenomyosis as secondary to her service-connected endometriosis, finding that there is no evidence of a nexus between the two conditions.

The Board has decided to remand the Veteran's claims for service connection for left and right elbow disorders due to insufficient medical opinion regarding the relationship between his current conditions and military service, as well as a failure to verify the Veteran's reported toxic exposure during active service.

The Board has restored the Veteran's VA disability compensation benefits that were reduced due to his incarceration, and now he is entitled to receive a 30% rating starting from June 15, 2018.

The Board has decided to remand the case due to a duty to assist error, and will consider any evidence not previously considered.

The Board dismissed the appeal as the appellant did not have standing to pursue an appeal regarding the manner in which attorney fees, arising from a May 2020 rating decision, were paid.

The Board denied the claim for payment or reimbursement of medical expenses incurred from September 26, 2020, to October 5, 2020, at Southwestern Virginia Mental Health Institute due to a lack of timely filing.

The Board has granted an effective date of February 4, 2020 for the grant of a total disability rating based on individual unemployability (TDIU). The decision is based on evidence showing that it was factually ascertainable that the Veteran met the criteria for TDIU within one year prior to the receipt of her intent to file claim.

The Board has dismissed the appeal as there is no administrative review process for disputes related to contractual payment rates under Veterans Care Agreements (VCAs).

The Veteran seeks payment of VA compensation benefits concurrent with separation pay due to financial hardship. The RO has requested an updated Financial Status Report (VA Form 5655) from the Veteran as it is essential in making a hardship determination.

The appeal regarding the termination of an apportionment to the Veteran's former spouse, B.P., on behalf of their children is dismissed as moot because the benefit was already granted and the apportionee did not appeal.