The Veteran's emergency medical treatment for a heart attack and cardiac surgery at CMHS was authorized by VA, meeting the criteria for reimbursement of private medical expenses.
The deciding factor: The Veteran made an informal application to VA within 72 hours after admission, which was deemed prior authorization.
- Claimed conditions
- Acute inferior wall myocardial infarction, Cardiac surgery
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 21, 2014
- Citation
- 1446579
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 1446579.
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
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Veteran is seeking reimbursement for unauthorized medical expenses incurred at Good Samaritan Hospital. The Board has decided to remand the case due to insufficient evidence regarding whether the Veteran's condition had stabilized and if he could have been transferred to a VA facility.
- Denied
The Board determined that the veteran's service-connected conditions did not cause his death or contribute substantially to it.
- Denied
The veteran's unauthorized private medical services provided from November 3, 1997 to November 18, 1997 were denied as he was not in receipt of any service-connected disability at the time.
- 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.
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