The Veteran's claim for payment or reimbursement of unauthorized medical expenses incurred from March 2007 to August 2012 at Sierra Vista Dental, M.A.L., D.D.S., and J.B.L., D.M.D was denied as the treatment was not authorized in advance by VA.
The deciding factor: The Veteran did not seek prior authorization for the unauthorized medical expenses incurred from March 2007 to August 2012 at Sierra Vista Dental, M.A.L., D.D.S., and J.B.L., D.M.D. and thus, payment is not warranted under 38 U.S.C.A. § 1725 or 1728.
- Claimed conditions
- right knee strain, eczema, right and left temporomandibular joint (TMJ) subluxation, left knee strain, oral herpes simplex, Human Papilloma Virus, genital warts, right plantar wart, androgenic alopecia
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 7, 2014
- Citation
- 1435309
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 1435309.
What this means for you
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Related decisions
Other Board decisions on a similar condition or argued the same way.
- Dismissed
The Veteran's appeals for service connection for asthma and a 10 percent rating based on multiple noncompensable service-connected disabilities were dismissed. The claim of entitlement to a compensable rating for eczema was denied, while the claim of entitlement to allergic rhinitis was not addressed as it pertained to different issues.
- Dismissed
The Board dismissed the appeals for service connection of various conditions due to untimely filing of the appeal.
- Granted
The Veteran's claim for an initial noncompensable rating for eczema was granted, effective November 5, 2024. The effective date could not be earlier due to the lack of a prior formal or informal claim within one year of receipt of the Intent to File.
- Remanded (sent back)
The Veteran's claims for service connection for left knee strain, right knee strain, shin splints of the right leg, and shin splints of the left leg are being remanded due to a failure to obtain VA examinations and medical nexus opinions.
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