The veteran seeks reimbursement for unauthorized medical treatment he received at a private facility. The VA Medical System denied the claim, citing lack of an emergency and availability of VA facilities. The Board has ordered further action to obtain records from Enloe Medical Center and provide reasons and bases for the decision.
The deciding factor: VA facilities were not feasibly available and prior authorization was not obtained due to delay in seeking treatment at a private facility.
- Claimed conditions
- rhabdomyolysis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 16, 2006
- Citation
- 0625286
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 0625286.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Dismissed
The appeal was dismissed due to the Veteran's explicit withdrawal of his claims for increased ratings and service connection, with full understanding of the consequences.
- Partly granted
The Veteran's migraine headaches were granted a rating of 50 percent, but no more. Other claims for service connection were denied or remanded.
- Denied
The Board denied readjudication of the claim for service connection for rhabdomyolysis and restoration of a 70 percent rating for the service-connected psychiatric disorder, both due to lack of new and relevant evidence. The claim for service connection for sleep apnea was remanded.
- Denied
The Board denied the Veteran's claim for service connection for rhabdomyolysis, finding no credible evidence linking the condition to his military service.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.