The Veteran is entitled to payment or reimbursement for unauthorized medical expenses incurred at a private facility in January 2006 due to the VA having constructive possession of a claim within 90 days of service discharge.
The deciding factor: VA had constructive possession of a claim for payment or reimbursement of unauthorized medical expenses within 90 days of the date of service, as evidenced by the Veteran's assertion and supporting hospital records indicating that he informed the private hospital about his VA treatment and that the VAMC was aware of his private treatment.
- Claimed conditions
- right thigh laceration
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 2, 2009
- Citation
- 0945826
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 0945826.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
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- Denied
The Board denied the veteran's claims for increased ratings for his service-connected lumbar myositis, psychoneurosis and conversion hysteria, residuals of shrapnel wounds of the left thigh and pelvis with retained foreign bodies and scars, and residuals of shell fragment wounds of the right thigh and left leg. The veteran was also denied entitlement to a total disability rating based on individual unemployability due to service-connected disabilities.
- Denied
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