The Board has determined that the Veteran's claim for payment or reimbursement of unauthorized medical services provided on September 23, 2011 is denied as he did not have prior authorization and his treatment was not covered by VA health care.
The deciding factor: Prior authorization for the private medical treatment received on September 23, 2011, was not obtained, and the Veteran did not meet other eligibility criteria under 38 U.S.C.A. § 1703 or 38 C.F.R. § 17.54.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 29, 2016
- Citation
- 1626143
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 1626143.
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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