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Denied

The Board has denied the Veteran's claims for payment or reimbursement of unauthorized medical expenses incurred on September 24, 2020, and October 8, 2020, by Flat River Family Dentistry due to lack of prior authorization from VA and the absence of a medical emergency requiring immediate treatment.

The deciding factor: The Board found that the dental treatments were not for an emergent condition and that VA facilities were feasibly available, thus denying reimbursement based on these criteria.

Claimed conditions
loss of use of both lower extremities, loss of use of the left buttock, loss of use of the right buttock, impairment of the right lower extremity, impairment of the left lower extremity, partial bowel impairment, partial bladder impairment, impairment of the right upper extremity, impairment of the left upper extremity, left hip fracture, optic atrophy of the right eye, colitis, recurrent renal calculi, laparoscopy scar, bilateral plantar wart scars, borderline diabetes mellitus
How they argued it
Not specified
Exposure basis
None
Rating assigned
None in this decision
Decision date
December 10, 2024
Citation
A24081927

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 A24081927.

What this means for you

A denial is a starting point, not the end of the road. You can see why this claim fell short — and, if you are still inside the one-year window, the appeal lanes that may remain open to you.

What you can do next

Related decisions

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