The Veteran's claim for payment or reimbursement of medical expenses incurred from December 9, 2012, to December 12, 2012, at Yavapai Regional Medical Center (YRMC) is denied because the VA cannot make payment due to lack of information regarding coverage under a healthcare plan and exhaustion of remedies against such plan.
The deciding factor: The Veteran had coverage under a healthcare plan but there are no EOBs or other remittance documentation establishing whether the Veteran or YRMC exhausted without all remedies against his healthcare plan for payment of such treatment, what portion of the expenses in question were paid by his healthcare plan, and which, if any, portion of the expenses not paid constituted a copayment, deductible, or similar payment that VA is prohibited from paying under 38 U.S.C. § 1725(c)(4)(D).
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- November 7, 2024
- Citation
- 24032770
Veterans Law Judge
Decisions by this judge: 2,035 · Granted: 30% (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 24032770.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
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).
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