Paid Nexus Letters Can Get Your VA Claim DENIED & Here's Why
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- čas přidán 17. 03. 2024
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Are you a veteran struggling to get your VA disability claim approved? One crucial factor that can make or break your case is the Nexus letter. In this video, we discuss the importance of sourcing Nexus letters from doctors within your state to increase the likelihood of your claim being accepted by the VA.
The VA often rejects Nexus letters from out-of-state doctors, believing they are not familiar with your treatment history. To avoid this pitfall, we recommend:
Requesting Nexus letters from your current treating doctors, if possible.
If you need to use a paid Nexus letter service, ensure they have doctors licensed in your state.
By following these guidelines, you can strengthen your VA disability claim and improve your chances of receiving the benefits you deserve. Don't let an out-of-state Nexus letter be the reason for a denied claim.
Watch this video to learn more about the crucial role Nexus letters play in your VA disability claim and how to ensure yours meets the VA's expectations.
#VADisabilityClaim #NexusLetters #VeteranBenefits #VAClaimTips #VeteranDisability #ServiceConnectedDisability #VAClaimHelp #VAClaimAdvice #VeteranHealthcare #VeteransAdvocate
My mental health C&P was done with a doctor who was out of state that the VA sent. I was approved.
Mine also
If they can do my ace exam for migraines with a doctor in California and I’m in Texas, I can use a out of state doctor
I was just awarded 70% for PTSD. I live in one state and the group that wrote the nexus is located in another. 🤷♂
Seeing that you can see Doctors online. Heck Im in oklahoma and my psychologist in in Alaska.. Not like there is technology or anything.
@@SpaceRanger187 For PTSD that is exactly what I did. It was zoom sessions, but those doctors gave me a diagnosis. The nexus letter was just a second set of eyes, which reviewed the records and provided, based on existing evidence, a third party medical opinion. It enhances the claim, IMO. For my upcoming claim, I already have diagnosis from in state doctors who physically examined me. I see no reason why a nexus letter who isn't claiming they examined me, but examined the evidence I provided from doctors who did would be denied.
Thanks for commenting I just submitted a claim for PTSD with a Nexus Letter to the VA i am praying for 70% how long did it take for the VA to review?
My VA primary care doctors, both mental health and physical health doctors said they cannot will not write a letter of opinion ( nexus letter).
I have recently talked to them And two VSO's here in Michigan.
The VSO's both say they cannot are not allowed to write letters of opinion (Nexus letters) because VA administrative directives forbid them to do so.
That is what is going on.
This times 1000. Doctor's wont' do NEXUS letters VA claims Academy.
Hi, just watched your video on wasting money for getting a NEXUS letter. I've talked to many physicians about getting a NEXUS letter and 98.99% have never heard of it and have no idea how to write one. And honestly I've never heard of it until I started looking/watching videos that are indicated the importance of having one. I spent 10 years (1963-1873) in the Army and 22 years in the VA Hospital setting before having to get a Medical Retirement due to my Back and feet disabilities while in the military. All those experts want you to have them secure you a NEXUS letter and write you information that will get me 100% due to unemployability. Is there anyone that provides help for veterans without charging an arm and a leg???? Thank you, at the age 79 I don't have many years left on this earth and would like to have my 100% P&T in place of Unemployability for my wife's benefits. Thanks would appreciate any help that doesn't make me have pay, we should be an outfit of Veterans helping Veterans!
I’m glad to see you are still doing your thing regardless of the BS
I have spoken to both my PCP and Ortho docs and they are either not allowed to write a NEXUS or want the VA to request it first. This make this fight even more painful after all these years.
Im having a hell of a time getting a nexus letter from my own doctor.
I currently reside in NY, my nexus letter was from a physician assistant from Texas who also served as an xo in the Army. I had no problems at all.
Me too. I live in SC, my doctor wrote my NEXUS who lived and practiced in CA and I got 100% T&P. So either I am an anomaly or your advice isn't true in most cases.
Would you mind me to the doctor that wrote your nexus?
@@iamlisamarie5273It was through Ree Medical. I did not contract with him directly. LMK if you still want the Dr.s name.
VA does not follow its on manuals, rules or whatever. No matter if the nexus letter is in state or out of state.
They will deny your claim either by completely ignoring your nexus letter or giving more weight to the C&P examiner that has 2-3 years of experience and is a NP. Also don't forget when they perform an ACE or medical records review the doctor in most cases does not reside in your state but they do have access to your C-file. Best bet is higher level review hoping to get a rater that knows how to do their job, submit an appeal.. or spray and pray......
You have to do more than depend on people writing your nexus letters, you have to read and educate yourself on the VA claim process. They denied one of my claims with the original military medical note included. I immediately appealed and they responded by saying they failed to do the duty to assist (meaning they flat-out ignored the evidence). Educate, educate, educate!!!!
Good luck getting your doctor to write a nexus letter.
Haha yeah. I actually have a whole lesson on how to speak to your doctor for the best odds at them signing. If you mention key words like “VA disability” it’s almost guaranteed they run for the hills
His whole attitude and tone changed. @@vaclaimsacademy
@@vaclaimsacademy yah especially to my orthopaedic doctors they have no time to read and sign a papers they good in cutting you open they do a lot of surgery.
@@vaclaimsacademy best bet is to get your Va doc to refer you out to a psychiatrist. They get paid, you pay Va copay only.
LoL
Hello Jordan! Thank You for all you do. I hope you and your family are doing well. Take care
Moparheatman! God bless you, I hope you’re doing well and feeling strong
Well said Jordan! Hope all is well!
GET YOUR C-FILE!! The doctor that wrote my Nexus said in the letter that he examined my C-File. That way, it was nearly impossible for the VA to ignore his opinion. And they took the letter into consideration. Hope this helps.
How do you get this?
@@isaiahbih Look for a VA form 3288. Print it, and fill it out. Beware though, getting your C-File may take from 3 - 6 months or more. Yes it's a lengthy wait but it's worth it.
you have to request it through FOIA. it took me several months to get mine
What is a "C" file. What does "C" stand for ?
So far I've got 2 private doctors.They will not as well as.
Some say they don't get into the disability claims process. Which this also includes my VA Doctor and V.A specialist. Maybe another way also is just the complaints and talking to your Doctor and making sure that they are getting it into their notes.
I just keep complaining and talk about your issues. Tell your truth, do not hide your pain physically or mentally.
I had a EMG test done it showed I have peripheral neuropathy. My doctor wrote me a letter stating it was more than likely linked to my degenerative. This disease pinched nerve as well. I had an x-ray done on my right hip. He said it was more than likely secondary to my ACL reconstructed knee service-connected, I called the guy who’s gonna do the Nexus letter he said both letters were excellent. The only thing the doctor didn’t include were examples. regards to claims that have been awarded similar to the claim I’m seeking
It's the VA they can deny what ever they want.
As Veterans we can appeal to Higher Level Review or file a Supplement.
Yes it's discouraging but the most important step is to keep applying and taking action.
I have used all of the above and in 3 years I have gone from 30% to 90%
Vets you must take action!
Appeals are ignored now, too. Filing is a waste of time.
@@Abyssofagony Appeals are the Law, appeals may take long but to say they are ignored is erroneous.
If you a person is having an issue they can also contact their representative in Congress.
For instance I live in Virginia and my representative is Abigail Spanberger she has town hall meetings.
Representatives in the Senate also will help.
@@MrMotivation247 Yes, you CAN appeal. That's all the law says. None of that means the VA has to care that you filled an appeal.
Here is the issue with what you are telling folks. Most regular doctors don't know anything about Nexus letters, don't know how to fill them out, and don't feel comfortable trying to link an issue today to when you were in. The fact we even need these things is down right insulting. I mean, for instance, I'm about to claim Sleep Apnea and its tied to my back and needs problems that occurred while I was in service. Anyone who knows what's wrong with my body already should be able to see that wow he's not able to exercise any more without being in severe pain we can understand how he has gotten heavier since he left service which has led to him getting sleep Apnea. I don't need to be a doctor to come up with this link but for some reason, the VA doesn't want to trust its service members and now we are forced to pay for nexus letters because our regular doctors won't link the two.
Most veterans are honest, but there is a definite percentage who completely lie and will commit stolen valor to get a phony service-connection. I know because I've heard it at Legion meetings and hangouts and at vet get togethers. It is these idiots who screw it up for the rest of us.
Is “highly likely” acceptable for a connection statement? Thanks for the great content!
I had my ibs claim
Deffered twice. The first time I did the C&P exam, I did it in my state. The second time it was deffered and the va said it was not a physical exam but a medical evidence review, but that dr was out of California and I live in Alabama. It was deffered a second time, and the va said that Dr. was out of Oregon. I should have got 30% from the criteria, but was only awarded 10%
They love to low ball veterans
Wow, thanks for the info. I didn't even know this was a factor. I was wondering if a nexus letter would help me. I am looking to go from 50 to 70% for my mental health claim on a higher level review. Any advice for someone in my position?
Nexus letters are not needed for increases, you’re already service connected for that condition
I would be careful claiming sleep apnea secondary to neck and back pains. I have back issues and nerve issues that I am rated for already. Va denied my service connection for sleep apnea secondary, even after I paid over 1k in my own money for a sleep study.
Hey Jordan would love to speak with you if possible. I did everything correctly diagnosis, nexus & a great personal statement. My claim was for my neck and back and I studied your videos for two months before I submitted everything. They sen me for C&P exams twice for the back and another for the neck. Looks like the people at optum had major infulence on denying my claim. How can they speak for me to know what I went through it's like they did not even acknowledge my personal statement which would have given me a 50% chance of likely service connected. Would love to speak with you if possible. I know my case was bulletproof because I did everything you instructed.
My nexus was 350 dollars for dry eye, won 20%. Don't know if it helped or not, but they are also out of state
Who did you use?
@@sunnindawg Warrior Alliance
@@johnandstephanie377 What condition if you dont mind. Cause I need one for my back pain denial. Thanks
I'll have to look into that. My doctor won't write me a nexus.
Dang I'm about to move but have an appointment in my current state in a few months. Is that risky?
What about mental health doctors that are available and approved to do video calls now but outside your state?
Can a nexus come from an active duty treatment facility? Or does it have to be civilian
My doctor wrote me a nexus letter for service connection but I was still denied (connection).
How can that make any sense? Please help.
How do you buy a nexus letter by a doctor in your state? My sleep doctor won't write me a nexus letter because I wasn't in his care at the time. The doctor I seen from my sleep apnea test (which came back faulty) is no longer available.
There’s all kinds of paid nexus letter services that will charge anywhere from $800-1,600 per letter. Quite steep but of course if you get rated favorably it’s a good return on that investment in my opinion.
I have no relationships with any of those services
What is the best template for a Dr to go by for a DIC claim proving I became disabled when I was 17 and have been my whole adult life? Mine is very complicated with disabilities beginning then due to almost losing my leg, (losing 2 and a half inches of bone) knee injury causing a permanent walk with a limp, a head injury causing mental disabilities! Then more to add in another car accident with 3 neck fractures, both ankles and heel bones and more than 10 bones in each foot which adds to the injuries of the 1st accident. The SSA has given me benefits at the age of 18 until now for some of the mental. I am SO OVERWELMED and my Dr is too on how much to talk about and add!
Jordan, for “combat PtSD”, is a nexus letter absolutely necessary? In other words, do I just need diagnosis, current symptoms, and personal statement? I kinda am getting conflicting info
No you need a nexus connecting a stressor to military service. PTSD is all about a stressor and a nexus letter ties that in. I have heard dozens of stories of combat vets still being denied ptsd, which is strange to me.
@@Adam-om9hu thanks Adam
Adam is bang on, just a personal statement on 21-4138 and don’t forget to ALSO fill out 21-0781 with the stressor event details
File a HLR , there is no requirement for the nexus letter to be from your state
What
How is that different? Can you elzborate?
Jordan. If the doctor who signs your Nexus letters is the same one who diagnosed you with the conditions you are getting the nexus for will that be an issue?
Naw those are the best ones.
@@realtuffhuff3193 how so?
So if my docyor wont get involved in disability claim and wont sign nexus letter then what?? Are medical records from private doctor enough. Is a nexus letter mandatory
My doctor won't write me a nexus letter. It's pissing me off.
@@mikespence8895 yep as soon as they hear disability they want zero to do with it and its not just one doctor its every practice ive gone to
Do any Vets ask how to get a diagnosis from a VA doctor ??
I would request an appointment and talk to them. I hate, hate va drs. I always use private. Because the va dba will go off of what a va dr says and has the authority to get that info. If you get 1 negative civilian dr opinion, then find another, because unkess you tell the va to go get that infor, they can't see the negative opinion. Unlike a va dr.
@Adam-om9hu .. hey thanks. I was asking because I have a way to do so.. discovered by accident, but if anyone would like to know..
Where do u get ur template
I draft mine in-house but there’s loads of decent free boilerplate templates online
This is not true totally, I know numerous Vets who used an out of state doctor to write a Nexus letter and was approved
They get denied regardless so might as well try.
Definitely better than nothing, I agree
If you only have a Va doc and feel you need a nexus letter have them refer you out to a psychiatrist. You’ll only pay your Va copay amount. Bring your records, explain the need, get your free letter.
It depends on the rater period which is something that must be fixed from within the VA. Until this is corrected this will continue to happen unfortunately. They utilize video calls just as the examiner that's out of state does. The VA is full of shyt in most cases and use anything they can to deny us benefits we have earned and suffer from.
Damn, I wish I would've seen this video like 3 weeks ago..
Ah, darn. You might still be fine, some raters are cooler than others with the idea of OOS nexus letters
Seeing that the VA has sent me to Texas many of times and I live in Okalahoma and have made several 4 hour one way trips..Anything to scam veterans.. Whats even better drive that far to be told..Drink some water and take some pills, that will make your blown out acl and hip feel better along with your ptsd and wanting to off yourself every day..
Isn’t this a “service” you do and get paid for? Not being facetious, I think you make some of the most informed and informative VA vids on YT. Others seems to get lost in the weeds and minutiae.
What I have learned is a guide and template with verbiage, codes and case law that compelling show your claim is due to or more likely or a secondary condition to a service connected claim, caused by my service. That way it is veteran self prepared. The hard part of the whole process is decoding the VA’s codes, finding the right case law to support any legal claim or denial and probably most important how to navigate a DBQ.
With all this, write your supporting statement, buddy statements and nexus letters yourself using this information and have your physician or specialist sign it. A lot of refusals for doctors not doing a nexus letter are based upon billable codes. If they can’t charge you for it, or interferes with case/workflow they won’t do it.
Well I got denied and rated at zero for two claims without medical evidence
Retune and re-engage!
If my VA doctor wrote a Nexus letter, I think the doctor would be fired.
Agreed, VA doctors cannot - will not write a Nexus letter.
I know from experience. None of my VA doctors my mental health doctors or my physical health doctors would or are allowed to do this, that is because they are bound by VA administrative directives to not do this.
This is true.
My VA doctor wrote me a nexus letter for my mental health and I have a C and P exam on the 11th of Apr. This is my 4th claim so hopefully this helps me get my rating.
My VA doctor wrote two Nexus letters for me. They aren't prohibited from writing them. In fact our VA clinic has a standard form for Nexus letters.
Those doctors have a duty to assist. Some vets get all of their care from the VA and cannot afford to pay a private doctor.
PsyPact Act
This sounds like a biased decision. It may get approved in a higher level review.
They may have denied the nexus letter for good reason, (i.e. known scamming agency), but they didn't deny the service condition. They're still giving the veteran the benefit of the doubt and allowing the veteran to continue with service connecting the condition. Personally, it's kind of stupid to even attempt a service connection without a diagnosis and six months of medical records to support your claim. To all you folks who complain, look at failures as an opportunoty to grow. Otherwise, if you just bring your negative attitudes, then, i dont blame C&P for a bad write up.
Eat a dic bootlicker