Remanded (sent back)
The Veteran's claim for payment of non-VA medical expenses incurred on June 6, 2017 was denied because the treatment was not pre-authorized and was not emergent. The AOJ is instructed to obtain necessary documentation from the provider to determine what payor was billed and whether any correction in billing was made.
The deciding factor: The denial of the claim was due to the lack of proper authorization for the non-VA medical expenses incurred on June 6, 2017.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 7, 2020
- Citation
- A20017973
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
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This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.