What to do when your claim is DENIED.

This DOES NOT apply to NEW claims submitted.

We’ve implemented a new and streamlined strategy to move this process along.

Veterans automatically use the phrase, “…how do we appeal?”

WE don’t.

Neither does the Veteran.

At this junction of the process, it’s not necessary and may never be. There are several mechanisms in place to avoid the dreaded appeal process and the following is the first one.

Instead of waiting extended periods of time for SOS to review the Veterans records, when Veterans  receive their “denials for previously submitted claims”, they now make a list of all PREVIOUSLY denied claims. (The Veteran will receive an official notification via the USPS from VA of such.)

YOU, the Veteran, make appointments to go have DENIED claims diagnosed by your primary care provider or a VA doctor. (These are NOT your C&P exams.)

There NOW exists “New and relative evidence” to support the previously denied claims.

Report back to SOS when self-scheduled exams are completed. 

SOS will prepare a new 0995 (Supplemental claim form) and maybe an additional 4142/4142a (If there are new primary care locations of new exams for the new diagnoses.) and send these to the Veteran.

If the exams were performed via the VA, SOS will request the VA examiner/rater obtain those records internally.

SOS sends the newly completed forms to the Veteran who reviews the documents for accuracy, then signs and returns them all to SOS.

SOS submits them.

SOS provides the time and date stamp proof of same and provides the Veteran a copy for their records.