The Board denied the veteran's claim for payment or reimbursement of medical expenses incurred at a private hospital after September 20, 2004, due to lack of prior authorization and because VA facilities were not feasibly available.
The deciding factor: VA did not obtain prior authorization for the services provided by St. Francis Hospital after September 20, 2004, and no attempt was made to contact VA regarding a transfer back to the VAMC or further medical procedures.
- Claimed conditions
- Myocardial infarction, bursitis of the left knee, scars of the right thigh
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 12, 2006
- Citation
- 0638661
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 0638661.
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 remands the matter of entitlement to service connection for the cause of the Veteran's death due to a lack of sufficient evidence addressing all contentions.
- Partly granted
The Board granted service connection for a cardiovascular disability, secondary to hypertension, but denied a compensable rating and an earlier effective date for the grant of service connection for hypertension.
- Partly granted
The Board denied a rating higher than 60 percent for the Veteran's heart disabilities and granted service connection for major vascular neurocognitive disorder, but denied special monthly compensation under 38 U.S.C. § 1114(l).
- Partly granted
The Board granted a 10 percent rating for hypertension, but denied higher ratings for scars of the left and right thigh, plantar fasciitis of the left foot, hip and knee osteoarthritis, and service connection for various conditions including erectile dysfunction, lumbar spine pain, TBI, and cervical spine pain.
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