VA Higher Level Reviews Explained by an Accredited Claims Agent
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- čas přidán 31. 12. 2023
- In this video Leah and Garren Cone, an accredited claims agent and legal advocate for veterans, discuss the appeals process for veterans who receive unfavorable decisions from the VA. Garren explains his role in assisting veterans with appeals, emphasizing the importance of the Appeals Modernization Act (AMA) and the different options available under it. He outlines the higher level review process, where veterans can challenge VA decisions based on errors in fact or law, without adding new evidence. The discussion also includes the importance of using the correct forms under the AMA and the option for an informal conference during the review process.
To contact Garren reach out to: avetappeals.com/
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🟦 Website : prestigeveteranmctx.com/
About:
At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.
The purpose of this channel is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.
Understanding the unique challenges veterans face our commitment lies in delivering exceptional service and support.
Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.
Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.
⚠️ DISCLAIMER
This video is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.
#veterans #va #vadisability
Happy New Year Leah, hope you have an awesome year ahead.
Thank you! You too!
Great information. Look forward to the other part of this conversation. I did an HLR a couple of years ago, even though I had a favarable decision. I quoted the VA manual in a written statement and was granted a new higher rating based on the HLR. There was no way I could have done that orally. Great information thank you! I am a former client of Prestige Veteran Medical Consulting and they do great work!!!
Thank you for the awesome feedback sir and for your continued support!!
What was the quote?
How do you add a written statement to your HLR?
Happy New Year to All my Brothers and Sisters!
Happy New Year to you too!
Have my HLR informal conference next week, binge watching these videos and hoping for a good result, duty to assist is a black hole I want to avoid.
Best of luck to you on this and keep us posted!
Had a hlr and they found dta error no c and p exams for sleep apena. Diabetes and hypertension on same letter that put under favorable findings for sleep apena I have a diagnosis a nexus and in-service event isn't that all I need to get service connected for it
I am sorry to hear this sir. Hang in there
Great information.
Thank you for watching!!
Would I be able to use migraine secondary to hypertension and depression and anxiety. I’m rated for both but just recently find out I have Chronic Kidney Disease as well.
I am very sorry to hear this sir. Every veterans case is unique so it just depends on your specific circumstances. Best of luck to you
You can service connect Chronic Kidney Disease secondary to Hypertension. And yes, you can service connect Migraines to Hypertension.
Initial claim filed Aug 2021. I received my denial letter Nov 2022, filed a supplemental claim in Aug 2023. I got favorable SC result from the supplemental claim awarded in Jan 2024 but SC was only dated back to Aug 2023 when I filed the Supplemental Claim. I was within the 1 year of the denial letter. Is a HLR the next step to get the SC date adjusted back to initial claim date of Aug 2021?
I am not sure sir you can reach out to Garen if you would like a consultation at: info@avet-project.org
Question of VA Form 20-0996. Can leave section IV, Optional Informal Conference blank or I need to check it? Any suggestion which way to go, if not applicable? Thank you.
I am not really sure sir but you can reach out to Garren through his website: avetappeals.com/
I had a review on my recent claim approval. I'm not certain if they r trying to take my claim away or something else
I am sorry to hear that hopefully not. Thank you for watching
I've had several HLR's and they claim to have found dta errors even though the DRO said based on what he reviewed I should've been granted service connection. On the other HLR the DRO claimed how strong my case/evidence was and still data error. That's the DRO's goto when they know you should've been granted service connection but want to refer you back to the adjudicator that screwed you in the first place.
Sorry to hear this. Thank you for sharing and thank you for watching
That's what they did to me
Sorry to hear this @@Rshen11
Me too. The VBA game has 4 steps. 1. get connected with C&P exam. 2. get low balled or a 0%. 3. get the CFile and point out errors in a HLR such as ignored checked DBQ boxes. 4. HLR apologizes and appropriately rates us.
Yikes! Sounds messy and often true @@sunnindawg
I am on day 393 of waiting for my higher level decision and well over 420 days of when i initated it.... its crazy how long it takes
I am so sorry to hear this. That sounds terrible. Keep us posted
When you get to six months I’d contact your congressman tell him it’s supposed to take 120 days
Have you gone for another cnp exam for your hlr?
My hlr got a duty to assist. They then sent me to another c and p exam jan 5. Its now january 23 with no decision. Is that normal? How long after the new c and p exam does it usually take for abother decision?
I am sorry to hear this sir. The response time can vary unfortunately. Best of luck and keep us posted!
@prestigeveteranmedical does the time of decision give any indication of what the decision will be? For example, if it takes longer does that indicate the va may not decide in your favor?
I do not know the answer to that sir. You may want to discuss with a legal professional @@imveryhungry112
Can you explain "relative equipoise" in regards to evidence and examples when this happens?
50/50 , meaning the scales ⚖ are balanced in favorable opinion & unfavorable opinion. The " tie" is still a win for the veteran.
And yet they still denied me. Lol
I am sorry to hear this sir
Thank you for the insight =-)
@@j.kossdgfleetdriver5597 the devil is in the details. Just address the REASON for denial, focus only on correcting that one point. Do not get off into the weeds with the rest of the letter.
LET'S HELP SPREAD THE WORD 😊😊😊
Thank you for the feedback friend!!
How do i do add a written statement to online HLR?
If you would like to ask Garen questions about the claims filling process you can reach out through their website here: avetappeals.com/
What does supplemental mean on a difference of opion higher level review
If you have legal/administrative questions and would like to speak with Garren you can reach him here: avetappeals.com/
Just talked to a person from VES about an increased I put in for trying to go from 80% to 100% does anyone know of or had to use them for your C&P. BYW good information.
Hey sir this is one of the major contract exam companies that the VA uses. Best of luck to you on this. Glad you enjoyed the video
Cani change my claim type. I claimed migraines secondary to hypertension. Denied by VA. Reason was they do not relate to each other. Can I now change it to migraines secondary to another service connected disability?
I am not really sure about that sir. You will want to check with an accredited legal professional for claims related queries. You can get with your local VSO if you would like. Garren's contact info is: avetappeals.com/
@@prestigeveteranmedical I follow him as well. I will see what he has to say. Thank you.
Wouldn't the HLR be conducted by a DRO, decision review officer?
Yes
Thank you buddy =-)
I am a disgruntled disabled vet... every single CZcams "expert" talks about the veterans claim and why it should be well developed.. what about a veteran that submits a well developed claim with excellent medical evidence, Nexus letters and thorough and supportive DBQ's that are well written yet the veteran gets a lowball rating. Why is there an Appeals process? A HLR process, a Supplemental claim process that takes years to resolve? Because the rater failed to comprehend the claim and forced the veteran to appeal it, only to be given a higher rating because the rater failed to give the proper rating initially... am I upset? You're damn right I am. The rater is the weak link in the claim process
Can’t argue with that! Thank you for watching and for sharing your thoughts
🎉😂 hey don't talk about my uncle BLIND SQUIRREL like that.
Thank you for watching!!
Sorry I hit thumb down button accidentally
It's ok. You should be able to change it by hitting the thumbs up button if youd like to