The Veteran's unauthorized medical expenses for services provided by the appellant on July 17, 2019 were denied as there was no indication of prior authorization and the treatment did not meet the criteria for emergency medical care.
The deciding factor: The condition was not an emergent one that would have been hazardous to life or health if delayed, and a VA facility was feasibly available.
- Claimed conditions
- unspecified depressive disorder, left shoulder degenerative joint disease and AC joint with impingement, right shoulder degenerative joint disease and AC joint with impingement, left knee patella subluxation with limitation of motion and degenerative changes, patella subluxation of the left knee, right knee degenerative joint disease, status-post tonsillectomy, right knee scar
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 3, 2024
- Citation
- A24028514
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 A24028514.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's claim for service connection for right knee degenerative joint disease, including secondary to a service-connected left knee disability, is granted. The condition was not related to military service and no aggravation by the service-connected left knee disability could be established.
- Granted
The Veteran's anxiety and depressive disorders were rated at a 70 percent disability rating effective May 6, 2015.,Effective May 6, 2015, the Veteran was granted an earlier effective date for DEA benefits.
- Granted
The Board has determined that the Veteran's current unspecified depressive disorder is related to his service-connected disabilities, and thus grants service connection for this condition.
- Denied
The Veteran's service-connected unspecified depressive disorder with insomnia disorder is rated at 30 percent, and the Board has determined that this rating is not sufficient to reflect his disability picture.
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