The Veteran seeks reimbursement for medical expenses received on July 30, 2008. The VA denied the claim based on the condition not being emergent and reasonable availability of VA facilities. The Board finds that remand is necessary to clarify the availability of VA facilities in the Veteran's area and determine if the treatment was emergent.
The deciding factor: The medical records indicate severe pain and a fever over 101-102 degrees for 4 days, which may constitute an emergent condition. The Board finds that clarification is needed regarding the availability of VA facilities in the Veteran's area.
- Claimed conditions
- severe pain, fever over 101-102 degrees for 4 days
- How they argued it
- Not specified
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- January 19, 2011
- Citation
- 1102166
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. Read the original VA decision (opens in a new tab) using citation 1102166.
What this means for you
A remand sends an issue back for more development, often a new examination or missing records. It does not award the benefit or decide the final outcome. The original decision explains the additional work ordered.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied the Veteran's claim of entitlement to service connection for severe pain that is separate and distinct from his service-connected back, right knee, and right lower extremity disabilities. The evidence did not support a finding of a current diagnosis of 'severe pain' distinct from his service-connected conditions.
- Granted
The Veteran's emergency room visit on May 30, 2015 was for a condition that required immediate medical attention due to severe pain and chest pains. The VA facility in Omaha is not feasibly available, so the treatment at CHI Health St. Francis was approved.
- Denied
The Veteran's claim for payment or reimbursement of medical services received at Methodist Hospital on April 3, 2016 is denied because a VA facility was feasibly available to provide the treatment and the Veteran had already visited VA facilities multiple times without success.
- Granted
The Veteran's claim for reimbursement of unauthorized medical expenses incurred at Verdugo Hills Hospital on June 16, 2006 is granted as the condition was an emergency requiring immediate attention.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
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.