The Board denied payment or reimbursement of unauthorized medical expenses incurred for non-VA care at UMPC on September 13, 2018 due to lack of prior authorization and failure to meet the emergency treatment criteria.
The deciding factor: The treatment was not for a condition that would have been hazardous if delayed, and there was no emergency situation requiring immediate medical attention.
- Claimed conditions
- Left elbow condition
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- April 10, 2019
- Citation
- 19127900
Veterans Law Judge
Decisions by this judge: 1,934 · Granted: 41% (granted or partly granted, in the indexed decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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. Read the original VA decision (opens in a new tab) using citation 19127900.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Granted
The Board granted service connection for bilateral hearing loss, arthritis of the cervical spine, cervical radiculopathy of the left arm, back disability, left elbow condition, left shoulder condition, left wrist condition, left hand condition, hypertension, and an initial rating of 10 percent for coronary arteriosclerosis prior to September 24, 2024.
- Whole decision: Remanded (sent back)
The Board remands the claims for service connection for an acquired psychiatric disorder, a heart condition, and left and right knee conditions to obtain additional evidence.
- Whole decision: Partly granted
The Board granted an effective date of May 28, 2021, for the award of service connection for depressive disorder and denied a higher initial rating. Service connection was also granted for sinusitis under the PACT Act and left elbow condition.
- Whole decision: Remanded (sent back)
The Board remands the claims for service connection for various conditions, including psychiatric disabilities and musculoskeletal issues, due to deficiencies in prior examinations and the need for additional evidence related to toxic exposure during service.
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