The 5 Stages of a VA Claim Explained: What Happens After I File a VA Disability Claim?

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Filing a VA disability claim is the first step towards securing the benefits you deserve for your service-connected conditions.

But what happens after that?

Understanding the VA claim process can help alleviate some of the anxiety and uncertainty as you wait for a decision.

In this article, we’ll walk you through the steps that occur after you file your claim and provide an overview of the average processing times, so you know what to expect.

Summary of Key Points

• Average VA Claim Processing Time: The average time to decide a VA disability claim is approximately 155 calendar days, but this can vary based on factors such as the type of claim, number of conditions, and the complexity of evidence required.

• Fully Developed Claims Program: Filing a VA Fully Developed Claim with all necessary documentation upfront can potentially expedite the claim process, as it reduces the time the VA spends gathering evidence.

• During the Waiting Period: While waiting for a claim decision, it’s important to attend all scheduled medical exams and check your claim status online for updates. No action is needed unless the VA specifically requests additional information. You can also check your VA claim status by calling 1-800-827-1000.

• Claim Processing Stages: The VA claim process typically involves five stages: Claim Received, Initial Review, Evidence Gathering and Review, Preparation for Notification, and Decision Notification Sent. Claims may cycle through these phases multiple times, especially during evidence review.

How Long Does It Take VA to Decide My Disability Claim?

On average, it takes about 155 calendar days for the VA to decide a disability claim from submission to decision.

However, VA claim processing timelines can vary based on several factors:

• The type of claim you filed: Different claims have different processing times. For example, a Fully Developed Claim may be processed faster than a traditional claim. If you’re confident you have all the necessary documentation, consider filing a Fully Developed Claim to potentially expedite the process.

• The number and complexity of claimed conditions: Claims involving multiple conditions or more complex medical issues generally take longer to evaluate. This is often because multiple Compensation & Pension (C&P) exams are required, which can take additional time to schedule and complete. Ensure you attend all scheduled C&P exams and provide comprehensive medical records to help streamline the evaluation.

• The time it takes to collect necessary evidence: The VA may need to gather additional evidence from various sources, such as healthcare providers or government agencies. This can delay the decision-making process. To speed up your claim, consider submitting a Fully Developed Claim with all the necessary evidence included. This minimizes the time the VA needs to spend gathering information and can help your claim move more quickly through the system.

What Should I Do While Waiting for My VA Claim Decision?

While your claim is being processed, there’s generally nothing you need to do unless the VA contacts you for more information.

However, if the VA schedules any medical exams, it’s crucial not to miss them.

These exams are often necessary to evaluate the extent of your disabilities and their connection to your service.

You can also check the status of your claim online for updates or call 1-800-827-1000 to speak with a VA claims representative.

Click here to check your VA claim status.

Pro Tip: Your VA claim may move back and forth between different phases multiple times during the review process. You might also see various internal notes from VBA claims adjudicators. There’s no need for you to take action unless the VA specifically requests additional information or documentation.

The VA Claim Timeline After Submission

Here’s a breakdown of the typical five stages your claim goes through after submission:

Phase #1: Claim Received

Once you file your claim, the VA will notify you when they receive it.

If you file online, you’ll get an on-screen confirmation message with tracking number.

If you mail your application, you should receive a confirmation letter about a week after they receive your claim, plus mailing time.

Note: After submission, your VA disability claim enters a cloud-based national work cue for assignment and processing.

Phase #2: Initial Claim Review

The VA begins by reviewing your claim to ensure all necessary information is included and that they can begin processing.

If you filed a Fully Developed Claim with all the required evidence, your claim is likely to be worked faster than a Standard Claim.

Phase #3: Evidence Gathering, Review, and Claim Decision

This is the longest phase in the VA disability claims process and generally involves several steps:

• Requesting Evidence: The VA may ask you, healthcare providers, government agencies, or other entities for additional information or documentation.

• Reviewing Evidence: Once all the necessary evidence is gathered, the VA reviews it in detail.

• Making a Decision: Based on the evidence, the VA makes a decision on your claim. If more evidence is needed, the claim may cycle through this step multiple times.

Phase #4: Preparation for Notification

Once a decision is made, the VA prepares your decision packet, which includes detailed information about the outcome of your claim.

This is called your VA decision letter and will explain whether the VA approved, denied, or deferred your claim.

Phase #5: Decision Notification Sent

The VA sends your decision packet by U.S. mail, and it can take 10-14 days to arrive.

This packet includes all the details about your claim decision, including your disability rating and any awarded benefits.

Pro Tip: You’ll notice changes in your VA.gov account under “My VA” before your decision letter arrives by mail.

VA Claims Process After Claim Submission: Frequently Asked Questions (FAQs)

What happens after I submit my VA disability claim?

After you submit your VA disability claim, the VA will acknowledge receipt and begin the initial review process. You’ll receive an on-screen confirmation if filed online or a confirmation letter if mailed.

How long does it typically take to receive a decision on my VA disability claim?

On average, it takes about 155 calendar days to decide a disability claim. However, the timeline can vary based on factors like the type of claim, the number of claimed conditions, and the complexity of the evidence required.

What is a Fully Developed Claim, and why should I consider filing one?

A Fully Developed Claim (FDC) is a type of claim where you submit all necessary documentation and evidence upfront, potentially expediting the process. If you’re confident that you have all the required evidence, filing an FDC can help the VA process your claim faster.

What should I do while waiting for my claim decision?

Generally, there’s nothing you need to do unless the VA contacts you for more information. However, it’s crucial not to miss any scheduled medical exams, as these are essential for evaluating your claim. You can check the status of your claim online or call 1-800-827-1000 for updates.

Can my VA claim move back and forth between different phases?

Yes, your VA claim may move between different phases multiple times, especially during the evidence gathering and review phase. This can happen if additional evidence is needed to make a decision.

What are the typical phases my claim will go through?

After submission, your VA claim will go through these five stages:

• Claim Received: VA confirms receipt of your claim.

• Initial Claim Review: VA checks if all necessary information is included.

• Evidence Gathering, Review, and Claim Decision: This involves collecting and reviewing evidence, and making a decision.

• Preparation for Notification: The VA prepares your decision letter.

• Decision Notification Sent: The decision packet is mailed to you, usually arriving in 10-14 days.

What should I expect in the VA decision packet?

The VA decision packet will include detailed information about the outcome of your claim, your disability rating, and any awarded benefits. You may see changes in your VA.gov account under “My VA” before receiving the packet by mail.

Can I track the status of my claim online?

Yes, you can check the status of your VA disability claim online through the VA’s official website. This feature provides updates and helps you stay informed about your claim’s progress.

What if the VA requests additional information?

If the VA needs more information, they will contact you. It’s important to provide the requested documentation promptly to avoid delays in processing your claim.

How can I expedite my VA disability claim?

Submitting a Fully Developed Claim with all necessary evidence can expedite the process. Additionally, attending all scheduled exams and promptly responding to VA requests can help move your claim along more quickly.

Can I appeal the VA’s decision if I disagree with it?

Yes, if you disagree with the VA’s decision, you have the right to appeal. There are different lanes available, such as a Higher-Level Review, Supplemental Claim, or Board Appeal, depending on your situation.

What should I do if my claim is denied?

If your claim is denied, review the decision letter to understand the reasons for the denial. You can gather additional evidence or clarification and consider appealing the decision. Consulting with a VA-accredited representative or attorney can also help strengthen your appeal.

Can I add new evidence to my claim after it’s submitted?

Yes, you can submit new evidence even after your claim is submitted. However, doing so may move your claim back to the evidence gathering phase, potentially delaying the decision. It’s best to submit all evidence upfront if possible.

How does the VA determine my disability rating?

The VA uses the Schedule for Rating Disabilities (VASRD) to assess the severity of your conditions. This schedule includes specific criteria for different disabilities, which are used to assign a percentage rating that reflects the level of disability and its impact on your ability to work and function.

What is a Compensation & Pension (C&P) exam, and why is it important?

A C&P exam is a medical examination scheduled by the VA to evaluate the severity and connection of your claimed disabilities to your service. These exams are crucial because the results play a significant role in the VA’s decision-making process regarding your disability rating and benefits.

What does it mean if my claim is “deferred”?

A deferred claim means that the VA has decided to delay making a decision on one or more issues within your claim, typically due to a need for more evidence or clarification. Deferred issues will be addressed after the necessary information is gathered.

What are common reasons for VA claim delays?

Common reasons for delays include incomplete applications, missing evidence, scheduling and completing C&P exams, and the need for additional medical opinions. Delays can also occur due to high claim volumes or complex cases requiring extensive review.

Can I expedite my claim if I’m in a financial hardship or have a terminal illness?

Yes, the VA has provisions to expedite claims for veterans facing financial hardship, terminal illness, or serious injuries. You can request expedited processing by providing supporting documentation of your situation.

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