The Veteran's medical expenses from September 6 to September 9, 2015 at Florida Hospital Zephyrhills were denied because the claim was not filed within 90 days of the treatment and no third-party action for reimbursement had been exhausted.
The deciding factor: The claim was not timely filed as required by VA regulations.
- Claimed conditions
- Abdominal abscess, Heart murmur
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 26, 2019
- Citation
- 19132767
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
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the matter for an addendum VA medical opinion to address whether the Veteran's service-connected conditions have caused or aggravated a heart murmur.
- Remanded (sent back)
The Board has decided that the case needs further development and remands for a VA addendum medical opinion to address whether the Veteran's heart murmur is related to active service, including his 1978 separation physical which listed 'shortness of breath' as a symptom, and whether it is caused by or aggravated by service-connected asthma.
- Remanded (sent back)
The Board has remanded the case for further examination and opinion regarding the Veteran's claims of service connection for bilateral hearing loss, a ventricular septal defect, and/or heart murmur. The decision on these issues is pending.
- Remanded (sent back)
The Veteran's claims for service connection have been dismissed due to withdrawal of the claims. The Board has remanded the issues regarding positional obstructive sleep apnea and gastroesophageal reflux disease.
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