Receiving a claim denial can be a very frustrating time. Waiting for what seems like forever and having your claim denied, there’s nothing more discouraging.

Here are a couple of the top reasons why claims get denied and what you can do to ensure your claim gets approved.

Not providing a buddy letter

Not having a good buddy letter is one of the top reasons that claims are denied. A buddy letter is someone else who is able to vouch for you and explain your symptoms in a different way. Here is the link to how to write a good buddy letter.

Leaving information out during your DBQ

Another necessary component to help prove your case is the DBQ. By completing a DBQ with your health provider, a Doctor is able to report accurate information on your behalf. During this process, make sure not to leave anything out or reduce any of your symptoms.

No service connection

How your disability is connected to your service needs to be clearly explained in your letters. The easiest way to do this is by submitting service medical records. If those don’t exist, submit your current medical records as well as a buddy letter vouching for your claim.

No medical diagnosis

You must have some sort of diagnosis from a medical professional. If you don’t have a diagnosis or an approved disability, your claim will not be approved. For example, if you were exposed to something during service but it has not affected your life post service, your claim would not be approved.

C&P Exam

First of all, show up to your C&P Exam! This is the easiest way to get your claim denied. If you can’t make it to your scheduled time, call the VA office and ask to reschedule. You need to be able to clearly prove your NEXUS letter in order to back up your claims. If it is not presented during your exam, there is a good chance your claim could be denied. There are a couple key things you must do to get ready for your C&P Exam. Read those here.

 

If you received your claim and you don’t understand the codes provided, check out the VA’s explanation of rejected codes.

If you have filed your claim multiple times and still are not able to get a good rating, email us at [email protected]. We have a system that is sure to get you an accurate claim rating.