The Board has determined that the Veteran's treatment at St. Edward Mercy Medical Center on January 11, 2008 did not meet the criteria for payment or reimbursement due to lack of emergency condition and non-feasibility of VA facility.
The deciding factor: The medical evidence does not support a finding that the Veteran met the criteria for an emergency condition (such as severe pain) requiring immediate treatment. Additionally, there was no indication that a feasible VA facility was available at the time of the treatment.
- Claimed conditions
- Acute abdominal pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 5, 2012
- Citation
- 1200351
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 1200351.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Board has determined that the Veteran's emergency medical treatment was for a condition of such severity (acute abdominal pain and pancreatitis) that delay in seeking immediate medical attention could have been hazardous to health. The nearest VA facility, over 50 miles away, would not have been considered reasonable by a prudent layperson.
- 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
The Board denied the Veteran's claim for an initial evaluation in excess of 10 percent for his service-connected coronary artery disease, finding that the evidence did not support a higher rating based on the severity of his condition.
- Denied
The Veteran's service-connected musculoligamentous strain, right knee, is currently rated at 10 percent and the Board finds that a higher rating is not warranted.
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