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Denied

The Board denied the appellant's claim for reimbursement of private medical expenses incurred on October 29, 2006, as no prior authorization was obtained and the treatment did not meet the criteria for emergency care.

The deciding factor: The treatment was not for a condition that would have been hazardous to life or health if delayed, and VA facilities were feasibly available.

Claimed conditions
Not specified in this decision
How they argued it
Not specified
Exposure basis
None
Rating assigned
None in this decision
Decision date
February 20, 2009
Citation
0906424

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

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This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.