Remanded (sent back)
The Board remands the issue of entitlement to payment of expenses for medical services provided on September 18, 2019, by Champlain Valley Physicians Hospital (CVPH), a non-Department of Veterans Affairs (VA) provider under the Civilian Health and Medical Program of the VA (CHAMPVA) for the Veteran's spouse, D.N., due to missing evidence regarding communication from Medicare.
The deciding factor: The appeal must be remanded because there is no evidence in the claim file of any communication from Medicare regarding the appellant's claim or demonstrating how the AOJ concluded that the appellant did not properly submit a timely claim.
- Claimed conditions
- Not specified in this decision
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 20, 2025
- Citation
- A25090408
Want to see how appeals like this one tend to go? Appeals like mine
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