The Veteran's claims for payment or reimbursement of medical expenses incurred from August 30, 2015, to September 8, 2015, at Memorial Hospital and Critical Care Consultants were granted as they were filed within the required 90-day period after he exhausted action to obtain payment or reimbursement from a third party.
The deciding factor: The claims were timely filed under 38 C.F.R. § 17.1004(d) because the Veteran finally exhausted his actions to obtain payment or reimbursement from Medicaid in March 2016, which was within the required 90-day period.
- Claimed conditions
- life-threatening severe sepsis secondary to legionella pneumonia, life-threatening respiratory failure
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 12, 2019
- Citation
- 19145982
Veterans Law Judge
Decisions by this judge: 2,035 · Granted: 30% (granted or partly granted, in the vetted 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. Look up the original decision on VA.gov (opens in a new tab) using citation 19145982.
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.
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