It got all the way to the end of the process. They were supposed to be preparing my letter. It said it would be done by next week. Two hours... Who's Online | Find Members | Private Messages
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From the Journal of Rik_Khaos | mood: Good

My va claim

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1 month ago - Saturday 12/9/17 - 1:25:55 PM EST (GMT-5)
It got all the way to the end of the process. They were supposed to be preparing my letter. It said it would be done by next week. Two hours later it is now back in the first phase again and says it will be done sept 2018.

I just want to drating cry. How do you get to the very end and then go oh we should have got more information. There is a review of evidence phase for a reason.

1 month ago - Saturday 12/9/17 - 2:26:01 PM EST (GMT-5)
Sorry dude, that sucks
1 month ago - Saturday 12/9/17 - 2:33:27 PM EST (GMT-5)
Rough
Have you been able to contact anyone there for more information/anything you can do to hurry it along? (Unfamiliar with the process by hoping there is something to be done)
1 month ago - Saturday 12/9/17 - 2:33:50 PM EST (GMT-5)
lately i haven't had anything to say but 'that sucks man'
but it does
1 month ago - Saturday 12/9/17 - 2:39:22 PM EST (GMT-5)
I can call the 1 800 number but they aren’t the people that handle the claims so they have limited info.

I have a call into my veteran service organization who assists me with the claim. They are about a week behind on their calls. When the call me I might get some answers because they have access to a system that should give them the info i’m Looking for.
1 month ago - Saturday 12/9/17 - 5:16:06 PM EST (GMT-5)
Friendly reminder to sign up for another sleep study when you are able. Things can drastically change over a few year's time.
1 month ago - Saturday 12/9/17 - 6:23:15 PM EST (GMT-5)
On Saturday 12/9/17 - 1:25:55 PM Rik_Khaos wrote:
It got all the way to the end of the process. They were supposed to be preparing my letter. It said it would be done by next week. Two hours later it is now back in the first phase again and says it will be done sept 2018. I just want to drating cry. How do you get to the very end and then go oh we should have got more information. There is a review of evidence phase for a reason.


that really sucks, sorry to hear that. don't they have documentation already? kind of makes me question what's going on in the VA, they've already been caught doing shady stuff before. i hope all works out for the best.
1 month ago - Saturday 12/9/17 - 8:56:15 PM EST (GMT-5)
On Saturday 12/9/17 - 5:16:06 PM mousepelled wrote:
Friendly reminder to sign up for another sleep study when you are able. Things can drastically change over a few year's time.


Just had one two months ago actually. Love the new machine they gave me, plus the nasal pillows are way more comfortable.

Thing is I don’t know what other things they need. It could be any number of things. What I’m hoping is that they approved or denied somethings and deferred something.

In that case I would get some decisions on some of it.

I’d prefer approvals, but if I get denied I can at least get a lawyer to start the Appel process which can take 5 years.
1 month ago - Saturday 12/9/17 - 9:05:51 PM EST (GMT-5)
geez, they really need some advocates to help people with this. Do they have anything like that?
It must be frustrating to be left in the dark.
1 month ago - Saturday 12/9/17 - 9:39:23 PM EST (GMT-5)
Yeah the veteran service organizations can help with it, but I’ve Not had much luck with them.

If they would just let you hire a lawyer from the get go claims would probably sent in more complete, but there are laws that you can’t get one until you are denied.


1 month ago - Saturday 12/9/17 - 10:38:59 PM EST (GMT-5)
That seems like a violation of due process. Having it out off that long is almost like not having it at all.

So bc you haven't been denied you can't get a lawyer?
1 month ago - Saturday 12/9/17 - 11:32:38 PM EST (GMT-5)
If the patient side works anything like the provider claims side, it just won't make any difference whether you have a lawyer or not (I don't know the rules on when you can and can't hire someone).
They process claims oldest to newest, basically no matter what. And there is a huge backlog. A lawyer absolutely cannot force them to jump your claim ahead in the queue. It's just pointless, really.
When I worked for hospitals and we had VA claims, they were right at about two full years behind in paying them. And unlike commercial insurance, there's literally nothing a provider can do except just make sure they have the claim in queue to be paid in the order it was received. It's crazy.
1 month ago - Sunday 12/10/17 - 12:15:32 AM EST (GMT-5)
Flickin sucks. Sorry.
1 month ago - Sunday 12/10/17 - 4:21:51 AM EST (GMT-5)
This isn’t a claim for a bill.

This is a claim for compensation/ disability benefits.

Why a lawyer helps in this case they can get all the request and handle turning things in. They also know specific va claims law about how thing are rated and the best way to maximize your claims. The can set me up for an IME or have a doctor do an IMO of my case file. That can be crucial in getting awarded properly because the VA claims doctors are usually not specialists. So getting an expert opinion can outweigh what the VA doctor says which sometimes is just asanine.

It’s convenience and connection to ancillary services billed on a contingency basis. If they have a case that goes before the VBA they are going to get 1/3 of 5 years of my back pay. I don’t know how to navigate that process at all and can’t argue the law like they can.
1 month ago - Sunday 12/10/17 - 4:34:23 AM EST (GMT-5)
Additionally, whike they can’t make the VA jump to your claim they can keep you from making stupid mistakes. Like if you submit a price of evidence while in a later phase of the investigation it will have to go back to gathering of evidence so it can be reviewed and check for additional development. That can send your claim off the rails. And most vets don’t even realize it. I do way more research than you average vet is going to do and i’m Still lost about this process.

But at least since i’ve Read the manual they have about ow they handle claims I have a slight bit of a leg up.
1 month ago - Sunday 12/10/17 - 10:03:10 AM EST (GMT-5)
Yeah, I didn't mean to imply that it's about a bill. I got onto a tangent about how the provider side works (and is frustrating).
1 month ago - Sunday 12/10/17 - 12:29:42 PM EST (GMT-5)
Yeah, i’m sure there are massive inefficiencies that cause it as well. Their work load is massive though.

I wonder if there is a technological solution.



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