VA Deferred Rating Decision and How to Identify it in a Rating
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- čas přidán 25. 07. 2024
- VA Deferred Rating Decision and How to Identify it in a Rating
You have VA claims questions. Our channel provides educational and informational videos on the VA compensation claims process. We educate veterans on disability benefit questionnaires (DBQs), nexus statements, individual medical opinions, (IMOs), VA disability benefits, how to win your chapter 35 benefits, what is permanent and total (P & T), easiest VA claims to win, and much more. Don't be frustrated, get educated
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Chapter List
00:00 Introduction
00:53 Definition of Partial VA Rating Decision
02:24 When to Defer an Issue
05:05 Deciding Some Issue While Deferring Others
06:30 Examples on when it is proper to prepare a rating decision
08:19 How it Looks in a VA Rating Decision
10:22 Best Practices on your VA Claim Process
💯Recommended Video Series You Should Check Out!
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This is how you can request a copy of my entire electronic claim file:
FOIA Request form: www.vba.va.gov/pubs/forms/VBA...
“I would like a copy of my entire claims file to include all service treatment records, personnel records, DD 214 and rating decision/s to include code sheet and any compensation and pension exam from the VA and any third-party contractors. The entire electronic claim folder on CD.”
Fax, Direct Upload and Mail to:
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How I obtained a copy of your VA Summary/Breakdown letter to include the diagnostic codes.
I called the VA at 800-827-1000 and inform them that:
“I would like a summary letter/disability breakdown letter to include, all my service-connected conditions, percentages and diagnostic codes.” (If you are not service connected, you will not have one). Also, you can have them email or fax (if you don’t have a fax at home, you can download a fax app in the play store on your phone) this information, if the person doesn’t want to email or fax it, hang up and call back and speak to someone else.
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DISCLAIMER: KMD89 VA Claims Consulting is a consulting company that is not holding itself out as a representative of veterans in any capacity with any government agency of any kind. We are not an adviser, claims agent, veteran service officer or VA representative and do not represent anyone before the VA. These videos are for educational/informational purposes only, and anyone watching these videos understands that the information is for these purposes only and it is not to be solely relied upon for the Veterans affairs compensation process as it is only a broad and general overview of the VA claims process. While it is possible to maximize your benefits, it’s solely your responsibility to become educated on the VA disability compensation claims process. It is imperative that you conduct your own research. I am merely sharing my opinion with no guarantee of any benefits.
#vadeferredclaims #deferredratingdecision #va #vadisabilitybenefits #vaclaims #easiestvadisabilityclaims #vaclaimhelp #vaclaim #veteranaffairs #ptsdvarating #vso #serviceconnecteddisability #vacompensation #nexusstatement #vadisabilitybenefits #higherlevelreview #nexus
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Yup this is exactly what happen to me. My flat feet, bunions and tinnitus were all service connected but my ptsd got deferred. They needed a personal statement from me and they scheduled a c&p exam. Deferred is better then a denial.
That is correct, you still have an iron in the fire depending on what they deferred it for.
Did you win your claim?
Honor see you Again.Blessing.Sr.
Thank you very Mr.Kimble for the information!! Much appreciated.
Glad it was helpful!
Thank you for the information.
Our pleasure!
Very good info Dewayne 🙏🏻🇺🇸 Go Army!
Go Army. Don't forget about my upcoming event: www.eventbrite.com/e/646378173517
Very helpful Dewayne got one SC , three denials ( two denials because of error , C & P examiner used wrong MOS ) and four deferrals - going to reread my rating decision letter now very carefully . Thank you .
Make sure you look at the regulations they used to deny the claim. Are they still active regulations.
Thank you SSG. I served 40 years ago and last year was made aware of what is available for veterans. Filed claim over year ago for decision this week. Tinnitus 10% approved because MOS (11B) Hearing loss 0%. TBI cervical and headaches (tbi) deferred. Wonder if I need nexus letter. Your videos big help in all of this
Your welcome, you would need a DBQ as well. Many vets think they only need a nexus (not true). www.kmd89.com/services check us out
@@DewayneKimble how to schedule consult? I went to website but no luck
This was a helpful video. I now understand what deferred means. My deferred claim is now being examined by a QTC psychologist. They say I will not need to be present for this.
Thanks for the support to the channel. That sounds like an ACE exam. I have a video on my You Tube channel about ACE exams.
@@DewayneKimble I will check it out.
Mr. Kimble you are the best. I have learned so much from your videos. I had a deferral and was granted service connection for the other two disabilities. I want to file another claim( asthma secondary to sinusitis). I was service connected for sinusitis with a 0 percent compensable rating. Can you file a secondary to a 0 percent compensable service connected disability?
Thanks for the kind words and I'm glad you found the videos educational. The primary condition has to be service connected.
Must the primary disability be at least 10 percent compensable before you can claim a secondary to it?
Good afternoon Sir, I got my rating back for my PTSD with TBI service connected at 70% but 8 of my other claims are all deferred for the following Information: Exam.
But nothing else is on page 9. The 8 things differed 7 of them were with one doctor from QTC.
The dental records for my Gerd and dental erosion is documented threw 4 years of my service.
Thanks for sharing and the support to the channel. If they deferred it for an exam, that means they are requesting an exam. You can now pickup my new book VA Claims Success: store.kmd89.com/
This is exactly the experience I had, I filed a claim for Gerd and metal health issues.once I got my initial decision letter I was service connected for Gerd without a C&P exam,however my mental health decision was deferred.ultimately I was service connected with a mental rating
Every claim is different and sometimes the VA can work in mysterious ways.
Any insight on how to get Gerd approval without CP?
5:17 Came to this video because your work is informative. My migraines claim got deferred. I also got the neurology doctor to fill out a migraines dbq, personal statement and treatment plan is in my notes. This was done at th va medical facility. What additional and relevant info? Is needed
Where does it fall under the 5 ways of service connection. You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
Migraines Direct Service Connection -treatment currently Sumpatran and another medication w/ Cefaly Headache Device. Is this not enough?
Thank you for what you do. I submitted a claim in late January. I got rating on two items and still waiting on the ptsd and others.
No problem and good luck with the rest of your claim.
@@DewayneKimble 🤗
I recently filed for an increase. Within a matter of a few weeks, all but one of my claims was increased. The one claim was sent to QTC for evaluation. I immediately started receiving the additional pay for the increased claims, but when I check my claims status, it's still showing as "Evidence gathering, review, and decision." They still haven't sent me a decision letter, so I'm assuming, and hoping that my claim will still be approved. That single claim decides if I'm at 100% or not.
There is no set time frame on when it will be done but I hope you are approved. Thanks for sharing.
How did it turn out?
The last slide is where I am. How do I have until I have to claim or prove the stressor? and will I be awarded the rating that is already given?
Awarded a rating that you have already been given. Sounds like you are already service-connected for it.
@@DewayneKimble I agree, seem like they have already given me the nessary rating?
@@DewayneKimble Thank you for your feedback. I'm subscribed to your channel and will reach out if there is anyone who could use your expertise and assistants.
I recently got deferred as well for my TBI the C&P exam Dr ordered a PTSD eval with a mental health Dr as well than my claim letter said my claim for increase for tbi rating was deferred for further evaluation, I am thinking they are evaluating the results from mental heath DR determine a possible increase, not sure
On the mental DBQ, it ask if the veteran has a TBI. They have to do both if the answer is yes. Also, don't forget to sign up for my next upcoming live webinar "How To Win Your VA Claim". Join me live as I drop nuggets on the VA Claims process as a former VA rater. va.kmd89.com/win-your-va-claim 12 hour live stream marathon. Are you ready to be part of this epic journey? Be our guest, submit your questions, and let's see if we can hit that 1000 mark together! 🎯✨ forms.gle/rfvMGQgaCnnmJF9g7 Each quest will have 15 minutes.
I just got deffered. The reason says" for the following information: Pact Act". Have you heard of this or how long that will take?
If you call the 800 number and ask them to look in the notes section of you electronic claims folder (which is in VBMS-A), maybe the rater put the reason for putting the PACT Act in the rating decision.
I received the same statement for 2 of my deferred claims and neither have nothing to do with the Pact Act. My VSO submitted a Higher-Level Review to have them removed from that category and adjudicated.
Hi. I just got my ratings back. I am 100% P&T but for one of my claims it gave me 30% but it is also deferred pending VA exam so I am confused. Can they reduce my rating after the findings?
There are more questions I have to that. For example, how long the the 30 percent has been in effect, if it's reduced will it cause the 100% to drop, and do you know the criteria for the 30 percent or higher percentage for that condition. If you have any additional questions, check out our private Q & A: www.kmd89.com/services
If I was denied service connection for a condition in 2013.. Now filing it secondary to a currently service connected condition.. do i file an 0995 or an EZ?
There is a video on my channel that explains the 0995/supplemental claims. It will provide details for you.
0995 I did the same thing but messed up and filed it using the EZ form. They kicked it back to me saying I used the wrong form and I had to re file
I filed three supplemental claims. Two were denied one was deferred. According to the m21-1 reference that should not have occurred. What can I do?
I didn't hear you say you obtained a copy of your claims folder or where your conditions fall under the five ways of service connection or that you read the notification letter where it explains your options. This is a process. The VA gives detailed information in the notification letter. Go from 0% to HERO and win the VA compensation you deserve, with my monthly veteran membership: 💪 Sign up now and take the first step towards a smoother VA journey - va.kmd89.com/membership You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
I got defered for one claim for medical opinion. I have a records review C&P exam for it so it can hopefully be approved 😢😢
Good luck with your claim. Go from 0% to HERO and win the VA compensation you deserve, with my monthly veteran membership: 💪 Sign up now and take the first step towards a smoother VA journey - va.kmd89.com/home-page-9675 Use code: VET50 to get 50% off each month (discount expires May 1st). We have a 12 hour live stream marathon. Are you ready to be part of this epic journey? Be our guest on our CZcams 12 hour live stream, submit your questions, and let's see if we can hit that 1000 mark together! 🎯✨ forms.gle/rfvMGQgaCnnmJF9g7 Each quest will have 15 minutes.
So when you get more medical records do you submit it to your claim or what do you do to make sure it gets added to your claim
It's up to you to submit what evidence with your claim. I have much information in the description section of all my videos.
@@DewayneKimble I made one mistake and I trusted my VSO and it but in rear, she submitted the wrong claim on two different claims. She was more about getting the claims submitted then get the right ones done correctly. Now I have to go and do it again but the right way. The biggest thing is that I'm not able to get my C file and review it. VSO won't let me see it.
Second problem is I had a really bad c&p exams, and one I had over zoom for PTSD and she couldn't hear me half of the time.
So now that claim is been deferred and I have another one deferred.
Just did a C&P exams for migraine and given 0 percent. During the exam I explain to the examiner I have migraines once a month. I also explain that the headaches force me to lay down until the pain meds kick in which could be hours. I receive the dbq and the examiner wrote everything down as stated. He didnt mark my condition as prostrating but documented me laying down debilitated from migraines in the DBQ. He also states my condition effects me economically as well. Im I misunderstanding the meaning of Prostrating? Or did the examiner inadvertently check the wrong box?
In the VA's M21 it notes the definition of prostrating and I have a video on my channel that talks about how to win your claim for migraines. I think it's time for another one.
@@DewayneKimble Thanks. Will check out the video!
Got 3 deferred for medical opinion and clarification. VA called me and stated the raters need more info from my doctor (she did DBQs for me). Hard to believe they actually called!
Yes, that doesn't happen often. Good luck going forward. Upcoming Webinar "Get Educated On The VA Compensation Claim Process Webinar" (COUPON CODE: WIN10). August 13th - 14th 6-8PM EST: va.kmd89.com/win-your-va-claim Tired of getting denied and ready to WIN your VA compensation claim.
Thanks. Im % capped out😊, so deferrerals will determine a better retropay (back to ITF). DK I've pursued all my claims on my own. VSO did little to nothing. However, was impressed with my knowledge level. That came from research and study, video such as yours too. In a way, I looked at the process similiar to getting hired for a job. Study the company, what do they want and need, get informed, whats the hiring process and build a solid resume tailored to the desired outcome. Of course,, change my words to CFR, DBQ,
appeals outcomes, etc. Just like you teach.
What do , deferred for MEDICAL OPINION mean?
They sent it back for a medical opinion. You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
I got deferred (additional development). I didn’t hear you address this. You said under development. Is this the same? What does additional mean. I sure hope I don’t have to add 4-6 months like you said.I already had a QTC appt for this back when I filed in January. Do you think I may have to do another QTC exam? In your experience, do deferred cases get more approved or denied? I know that’s not gonna be exact. Just asking what you think the percentage is on them.
Sorry, I know that’s a bunch of questions. I guess if you want to just answer one of them, what’s the % of deferred cases being granted? Like a ballpark figure? Many thanks my guy. Appreciate what you do with this channel.
I think I did mention it in the video. There are some many different types of development. Yours could be different from the next vet. When I rated, I would say to obtain an addendum from the examiner. Deferred can be a bad or good thing, it depends on what is going on with your claim. One would have to know all deferred claims, which is in the high six figures and what is going on with each one of those claims. Go from 0% to HERO and win the VA compensation you deserve, with my monthly veteran membership: 💪 Sign up now and take the first step towards a smoother VA journey - va.kmd89.com/membership You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
My deferred claim read at the end..VA medical opinion and VA examination..What does that mean…
VA medical opinion and VA examination is needed. You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
I just recently got the my decisons letter for supplemental claim. Tinnitus - continued and confirmed (denied). The issue for PTSD is deferred for the following information: further development. I called 800 number, they said they didn't need anything from me. What now?
In the rating, they should have stated why they deferred and now it's a waiting game. Remember the people at the 800 number are not rates and do not know if the rater needs anything.
@@DewayneKimble Thanks. I figured as much; waiting game. I submitted information they said wasn't in file when last denied!! Thanks for the videos and knowledge!!!
If one is deferred can we upload more evidence since they brought it back a step for "pending further development".
Yes you can. Go from 0% to HERO and win the VA compensation you deserve, with my monthly veteran membership: 💪 Sign up now and take the first step towards a smoother VA journey - va.kmd89.com/membership You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
I got my rating changed like this in April but nothings changed in my ebenfits nor my pay
That's not on combine but the rating would have to be reviewed, along with everything else you are service connected for.
@@DewayneKimble what I’m saying is I’ve had the same rating since my lettter in April of 60% and my letter says I got 90%
@@DewayneKimble I went from 60% to 90% and nothing has changed is that normal
I filed a claim for OSA secondary to to service connected GERD & Type 2 Diabetes secondary to service connected Hypertension. C&P exam completed, claim deferred due to pact act. I am a Gulf War Veteran. Are these conditions related to the Pact Act?
There is a live Q & A video on my channel that address all the conditions in the PACT Act.
I was deferred for PTSD claim for “clarification “ what does this mean ?
I wouldn't know how you claimed PTSD or what clarification they need. They may need to confirm the stressor. You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
Goodmorning. I got 3 denied and 3 deferred. Should I contact my VA rep about this or will they contact me because for the deferred it says it “examination required” . I got denied my tbi residuals which I find weird because after I hit my head I started going to medical for migraines and got 50% for it but denied tbi? How does that work
They are not supposed to deny and defer. Yes, contact our rep. You can now get your signed copy of my new book "VA CLAIMS SUCCESS - Your Guide To Maximizing Your VA Compensation Benefits": store.kmd89.com/
Do I still get paid for the approved claims while I wait for the deferred claim to process ?
When the overall percentage changes, there should be back pay, unless there is a debt or something.
Can you request a deferred rating decision?
No, the rater will determine if the condition needs to be deferred in the rating. Also, don't forget to sign up for my next upcoming live webinar "How To Win Your VA Claim". Join me live as I drop nuggets on the VA Claims process as a former VA rater. va.kmd89.com/win-your-va-claim
Number 17 on thumbs up
Hello Tyrone Andrews, thanks for the support to the channel.