The veteran's claims for reimbursement or payment of unauthorized physical therapy and psychotherapy treatments received outside VA medical care system were denied as the criteria for payment have not been met.
The deciding factor: VA did not provide pre-authorization for the non-VA treatment, which is required by law. The veteran failed to obtain necessary medical documentation and was instructed to make an appointment for evaluation purposes only.
- Claimed conditions
- Right Shoulder Condition
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 27, 2004
- Citation
- 0423855
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. Look up the original decision on VA.gov (opens in a new tab) using citation 0423855.
What this means for you
A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has determined that the Veteran does not have a current right shoulder condition or neck condition, and therefore service connection for these conditions is denied. The claims of service connection for a neck condition as secondary to a service-connected right wrist condition and for bilateral hearing loss are remanded due to insufficient evidence.
- Remanded (sent back)
The Board has decided to remand the Veteran's claims for service connection due to inadequate medical opinions and potential gaps in documented medical treatment.
- Granted
The Board has granted service connection for a right shoulder condition, finding it directly related to the Veteran's military service. The effective date is October 24, 2025.
- Remanded (sent back)
The Board has decided to remand the claim of service connection for a right shoulder condition due to insufficient evidence and the need for a VA examination.
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