The Veteran's claim for reimbursement of medical expenses incurred on July 28, 2014, was denied due to her having third-party insurance coverage. The Board has determined that the denial is not valid and remanded the case for readjudication in light of the invalid regulation.
The deciding factor: The denial was based on the Veteran's having third-party insurance coverage which invalidated the previous decision.
- Claimed conditions
- Renal colic
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 9, 2018
- Citation
- 1801294
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 1801294.
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.
- Denied
The Board denied the Veteran's claim for payment or reimbursement of medical services received at Erlanger Hospital in Chattanooga, Tennessee on December 16, 2011 due to lack of pre-authorization and failure to meet the criteria for a medical emergency.
- Granted
The Veteran's nephrolithiasis has been rated at 30 percent since October 25, 2005. The Board finds that the Veteran met the schedular criteria for consideration of TDIU from October 25, 2005 to February 8, 2006, and from September 1, 2006 to July 21, 2011, and from September 30, 2011 to August 29, 2012. The Veteran's service-connected disabilities have resulted in unemployability during these periods.
- Denied
The Board denied service connection for psychiatric disorder (including PTSD), duodenal ulcer disease, renal colic, bronchial asthma, and residuals of wounds of the forehead, back and thighs. The diagnoses were not established during or within one year after service.
- 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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