The Veteran's claim for reimbursement of non-VA medical services on October 13, 2014 at Avera McKennan Hospital was denied as VA could not perform the necessary treatment and there was no prior authorization. The Board found that the follow-up procedure was a continuation of his emergency treatment.
The deciding factor: The AOJ determined that the non-VA medical services were not authorized due to lack of prior authorization from VA, despite the Veteran's claim that VA could not perform the necessary treatment and the procedures were required for continuity of care.
- Claimed conditions
- cholecystitis, choledocholithiasis
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 27, 2024
- Citation
- 24034777
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 24034777.
What this means for you
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What you can do next
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