The veteran seeks payment or reimbursement for private medical expenses incurred on August 3, 2004 at Doctors Medical Center. The VAMC denied the claim based on a finding that no authorization was provided and that a VA facility was feasibly available. The case is now remanded to determine if prior authorization was granted.
The deciding factor: The decision found that prior authorization for the treatment had not been provided, despite the veteran's contention that it had been authorized by the Department of Veterans Affairs.
- Claimed conditions
- impairment of sphincter control, loss of use of both feet, chronic cystitis, residuals of a neck injury, an eye disorder, an upper respiratory disorder
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- February 11, 2008
- Citation
- 0804826
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 0804826.
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.
- Granted
The Board has granted the Veteran's claim for service connection for residuals of a neck injury, finding that his current disability and in-service injury are related.
- Granted
The Veteran's claims for service connection for bilateral elbow disorder, bilateral hearing loss, and residuals of a neck injury have been granted. The claim for sleep apnea has been withdrawn.
- Remanded (sent back)
The Veteran's initial ratings for allergic rhinitis, ulcerative colitis, hemorrhoids, and impairment of sphincter control were remanded due to a failure by the AOJ to provide notice of his right to a hearing.
- Granted
The Veteran is granted an annual clothing allowance for the use of a manual wheelchair during the 2022 calendar year due to wear and tear on his clothing caused by the wheelchair.
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