The Veteran's non-VA provider, Cape Cod Orthopedics and Sports Medicine, requested reimbursement for medical services provided on June 4, 2018. The claim was denied due to lack of authorization. However, the denial letter is missing from the claims file. The Board finds that proper notice of the decision under 38 U.S.C. § 5104 has not been provided and thus remands for adequate notice.
The deciding factor: The denial letter and related claim documentation are missing from the claims file, preventing a complete review of the decision.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- July 17, 2024
- Citation
- A24038581
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 A24038581.
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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