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The Role of Nexus Letters in VA Disability Rating Increase Claims

young african american woman in military fatigues shakes hands with a female consultant for veterans

The purpose of a Nexus letter is to help a Veteran seek service-connected compensation in opposition to the Veterans Affairs’ rejection of a recently or previously submitted claim. 

In this blog post, we’ll break down what a Nexus letter is and share how REE Medical can help you obtain one.

What is a Nexus letter?

The word Nexus simply means “connection” or “link,” and that’s exactly what a VA Nexus letter is.  

Drafted by a neutral, third-party doctor, a Nexus letter is a detailed report that explicitly links a Veteran’s disability or current medical condition to one or more events that occurred during their military service. 

 A Nexus letter can be submitted to the VA in any of the following circumstances:

      1. If a claim was denied due to insufficient, inaccurate or lack of medical records with the initial application for a VA disability rating if a submitted claim was rejected by the VA
      2. While the VA is evaluating benefit eligibility
      3. After an unsuccessful Compensation and Pension exam, or C&P exam. 

While a Veteran isn’t required to submit a Nexus letter when applying for disability benefits, it can increase your chances of your application being approved.

What’s in a Nexus letter?

The Nexus letter should include:

      • A statement from the physician indicating that your entire VA and medical files, as well as DD214 forms, have been viewed and notes from any recent examinations. 
      • Supporting evidence, such as private medical records, that provides additional information about the disability. 
      • References to relevant medical research such as scientific studies and medical journal articles that support the author’s key points. 
      • A strong conclusion that definitively states the connection, such as “is due to” or  “at least as likely as not” due to the veteran’s military service. These conclusions support the medical findings from a credible source.

How to obtain a Nexus letter?

To be credible and acceptable as a legitimate part of a claim or appeal proceedings, a Nexus letter for VA disability such as sleep apnea, PTSD (Post-Traumatic Stress Disorder), and other conditions, must be written by a certified medical provider. 

Who can’t write a Nexus letter? 

      • A VA doctor, as that can present a conflict of interest
      • Yourself 

The REE Medical Nexus Letter Process

At REE Medical, we work with licensed medical practitioners who have the knowledge and experience necessary to write effective Nexus letters for Veterans that will help them obtain the benefits they deserve. There are a few simple steps we take to ensure that you are receiving the best services for your Nexus letter.

Action plan: We assess your prior claims and then develop an action plan that outlines the documentation we would need to provide a strong Nexus letter.

Nexus letter draft: After completing all action plan items, we will work with a licensed medical practitioner to prepare a Nexus letter and have it reviewed by a VA-licensed and accredited disability attorney.

Letter delivery: REE Medical will send the finalized Nexus letter to the veteran that they can then submit to the Department of Veterans Affairs.

Reach out to our team to see if REE Medical’s Nexus letter services are a fit for your claim.

16 Responses

    1. Hi Mr. Lee! Thank you for reaching out to us! If you are interested in a free consultation, please sign up here! One of our benefit consultants would be happy to give you a call and answer any questions you have to see if we might be able to assist.

    2. I’m a retired Army Reserve National Guard veteran who served 20 years. I have a diagnosis of Chronic Low Back Pain with Lumbar Radiculopathy, and Osteoarthritis of Left Knee. I need to show a nexus between both diagnosis to get my claim approved. My disability has affected me greatly in my civilian life and career as a Registered Nurse. The severity, frequency, and duration of my symptoms has caused me to have to retire from my civilian job before my retirement age.

      1. Hi Janet! We appreciate your reply. Thank you for letting us know what you have been struggling with and understand how frustrating that can be. We offer free consultations to all of our veterans to discuss the services we provide and the options available to see if we can assist. Please complete this form and one of our benefit consultants will give you a call directly. Thank you, Janet!

  1. I am a retired Marine, also worked as VSO for 15 years. Presently rated at 80% combined, of which OSA is 50%. I have a HLR, recently submitted, for denial of DM2, secondary to my SC OSA. My previous Supplemental included a letter from my PCP. The letter was weak and did not sway the rater. I have previously submitted several medical articles that support my claim – however, not sufficient to provide benefit of doubt in eyes of VA.

    1. Hi Mr. Harrison! Thank you so much for your reply to our blog post. We provide free consultations to all our veterans for our DBQ and Nexus letter services. We would be happy to discuss your current situation with you to see if we can assist. Please contact our Outreach Specialist, Nicola so she can put you in touch with one of our team-members: nicola@reemedical.com. Thank you, Mr. Harrison!

  2. Hello.

    I have a diagnosis of Tinnitus which is service connected and rated. I also have a diagnosis for headaches that has been denied as service related (secondary to SOA). I need to show a nexus between Tinnitus and Headaches to get my claim approved. What is the fee for a nexus statement?

    1. Hi Josh! Thank you so much for reaching out to us regarding our Nexus program relating to your conditions. We provide free consultations for our services and discuss the breakdown of our fee and everything that is included. If you are interested, please sign up here. We look forward to hopefully working with you!

  3. I claimed back pain for compensation, it was denied because I didn’t submit any medical evidence to support my claim, they also didn’t send me to a C&P examination.

    They are asking me to send a supplemental claim with new evidence which I have from a doctor, and will also include a personal statement. my question is do I send a nexus letter along with this or just send the medical records and personal statement, and wait until they send me to a C&p examination?

  4. Good morning,
    My clam was denied for several conditions.
    I would like to find out how to go about obtaining an nexus evaluation/letter.

    1. Hi Donald! Thank you so much for reaching out to us regarding our Nexus program relating to your conditions. We provide free consultations for all of our services and discuss the breakdown in depth. If you are interested in a free consultation, please sign up here so we can provide you with additional information to see if we can assist. Thank you!

  5. I Need a nexus letter linking my.1990 Non Hodgkins.Lymphoma (presumptive) to my 2017 Intra oral squamous.cell carcinoma(non.presumptive) ..Vietnam vet 70-71… I can fax info ..not download.. My first application for benefits.. did my C&P exam last week. Need letter asap..
    Gary Karlsrud

    1. Hi Gary! Thank you for reaching out to us. We offer free consultations for all of our services, including Nexus Letters, and discuss the breakdown in depth and what is to be expected. If you are interested in a free consultation to learn more, please sign up here so we can provide you with additional information to see if we can assist. Thank you!

    1. Hi Robert! Thank you for your question and interest. You can speak with one of our benefit consultants on a free consultation call who will answer any questions you have about our Nexus service, including our pricing breakdown and how the process works.

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