The Board denied the claim for reimbursement of private medical expenses incurred from January 26, 2006 to January 28, 2006 at Faith Regional Health Services due to lack of prior authorization and non-emergency nature of the treatment.
The deciding factor: The care was not rendered in a medical emergency of such nature that delay would have been hazardous to life or health, and VA or other Federal facilities were feasibly available but not utilized.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 26, 2009
- Citation
- 0911269
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
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.