Denied
The VA denied reimbursement for non-VA emergency medical services because the claim was filed outside the required 90-day period and the remaining balance was a deductible that the VA cannot pay under current law.
The deciding factor: The claim was untimely filed and the remaining balance was a deductible from Medicare, which the VA is precluded from covering by law.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- January 21, 2025
- Citation
- A25004930
Want to see how appeals like this one tend to go? Appeals like mine
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