The Veteran's private hospitalization at St. Luke’s Elmore on September 30, 2017 was for a nonservice-connected disorder and the AOJ denied payment or reimbursement due to untimeliness of claims.,The Veteran alleges prior authorization from his VA primary care doctor for his private medical services and outpatient procedure at St. Alphonsus Medical Group and St. Alphonsus Regional Medical Center on November 15th-16th, 2017. The AOJ denied this claim.
The deciding factor: The claims were untimely filed due to the private providers not submitting their claims within 90 days of the Veteran's discharge from St. Luke’s Elmore on September 30, 2017.
- Claimed conditions
- left acetabular fracture, left gluteal pseudoaneurysm with hemorrhage, deep vein thrombosis (DVT), pulmonary embolism (PE)
- How they argued it
- Not specified
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- April 16, 2019
- Citation
- 19129044
Veterans Law Judge
Decisions by this judge: 2,156 · Granted: 29% (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 19129044.
What this means for you
A remand sends an issue back for more development, often a new examination or missing records. It does not award the benefit or decide the final outcome. The original decision explains the additional work ordered.
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: Denied
The Board denied service connection for deep vein thrombosis (DVT), including blood clots in bilateral calves, and blood clots in the lungs as there is no persuasive evidence linking these conditions to active service.
- Whole decision: Granted
The Veteran's service connection claims for various conditions have been granted, with some issues being remanded for further evaluation.
- Whole decision: Remanded (sent back)
The Board has remanded the claims for service connection due to a failure to obtain an opinion from a VA examiner regarding the Veteran's disabilities and their relation to carelessness, negligence, lack of proper skill, error in judgment or similar instance of fault on the part of VA.
- Whole decision: Partly granted
The Board granted service connection for hypothyroidism, DVT, and a heart disability as secondary to residuals of acute renal failure. The claim for an initial compensable rating for acute hepatocellular necrosis was denied.
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