The veteran's claim for payment or reimbursement of medical expenses incurred at St. Raphael's Hospital from January 15, 1998 to March 27, 1998 is denied as VA did not authorize the treatment and the veteran does not qualify under unauthorized medical expenses provisions.
The deciding factor: The veteran's claim for payment or reimbursement was denied because VA did not provide prior authorization for the care provided at St. Raphael's Hospital, and the veteran could have been safely transferred to a VA facility on January 15, 1998.
- Claimed conditions
- cardiac issues, incomplete paralysis of cranial nerves, disfiguring facial scar, brachial plexus neuritis, phlebitis with pulmonary emboli
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- May 17, 2001
- Citation
- 0113964
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Search VA.gov for the original decision (opens in a new tab) using citation 0113964.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
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- Granted
The Veteran's service-connected PTSD and disfiguring facial scar have prevented him from obtaining substantially gainful employment, meeting the criteria for a total disability rating based on individual unemployability (TDIU).
- Denied
The Veteran died from cardiopulmonary arrest probably secondary to acute myocardial infarction. His service-connected disabilities did not cause or contribute substantially to his death.
- Denied
The Board denied the veteran's claims for increased ratings for his service-connected lumbar myositis, psychoneurosis and conversion hysteria, residuals of shrapnel wounds of the left thigh and pelvis with retained foreign bodies and scars, and residuals of shell fragment wounds of the right thigh and left leg. The veteran was also denied entitlement to a total disability rating based on individual unemployability due to service-connected disabilities.
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