The Veteran's emergency medical services provided during April 16-18, 2007 were covered by Medicare. Since the appellant did not submit a claim within 90 days of the treatment and Medicare denied payment, VA cannot provide reimbursement.
The deciding factor: The appellant submitted claims for payment after exceeding the 90-day filing deadline established under VA regulations.
- Claimed conditions
- Transient Ischemic Attack, Gastrointestinal Bleed
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 1, 2010
- Citation
- 1032932
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 1032932.
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.