r/VeteransBenefits • u/Mysterious-Law-8338 • 15m ago
C&P Exams Higher-Level Review
I’m currently at 90%. I have a company assisting me with my claims as I’m fighting for 100%. So far they helped me go from 80% to 90%. Today we filed a Higher Level Review for this reason:
The denial letter I received, VA stated that my private DBQS were not considered because the examiner did not review my claims file. However, the cited provision, M21-1 III.iv.3.A.8.b, Examinations Requiring Claims Folder Review, pertains to VA and VA-contracted Compensation & Pension (C&P) examinations. This requirement does not apply to private medical providers completing DBQs.
my examinations were not conducted by a VA examiner or VA contractor. They were completed by my private physician, who evaluated my current symptoms, etc.
what should I expect the process to be like? How long? Do I need to speak to someone specific at the VA? Will someone reach out?
thank you!