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Understanding Your VA Rating Decision

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Understanding VA Rating Decision

 

How Do I Know if My VA Claim Was Approved?

The rating decision is the most significant portion of the VA disability benefits claims process. Once the United States Department of Veterans Affairs receives a claim from a disabled veteran, the VA claims process can be lengthy. However, this news can be pivotal, especially if the decision includes a favorable disability rating and effective date.

Receiving a rating decision also means that your case is moving along in the very slow VA system, and even if the decision is not favorable, at least that means you are able to move forward with your case and determine the next steps that you will take. Today we are going to talk about the structure of the rating decision so you are able to get all the information from it that you need in order to decide what to do next.

Receiving a Rating Decision: What Is the Process?

To understand the VA rating decision, it’s important to also understand the veteran’s disability claims process. There are several steps that occur before the rating decision arrives at your door.

  1. Receipt of Claim: Once the VA receives your claim, they will send you a letter in the mail within two weeks to confirm that they received it. If you submitted your claim through eBenefits, you will receive this notification electronically within one hour.
  2. Initial Review: A Veteran Service Representative (VSR) will review your claim.
  3. Evidence Gathering: The VSR may require additional evidence to prepare your claim for a decision. In this case, they would send you a letter requesting medical evidence, including medical records from all health care providers. The VA will then review your claim.
  4. Preparation for Decision: Once the VA has all the evidence they need for your decision, a Ratings Veteran Service Representative (RVSR) will review all the documents in your initial claim. This evidence includes your initial application, results of your compensation and pension exam,
  5. Pending Decision Approval: There is one final review after the RVSR’s review. The RVSR will send your claim to a superior, and the VA will make the decision.
  6. Decision Notification: The VA will send a decision packet to your home in the mail.

At this point, you would either receive the veterans benefits as outlines in the decision packet. If you disagree with the VA disability rating, you would start the appeals process. You have the option to file an appeal on your own or work with a Veteran’s Service Officer (VSO).

Keep in mind that you can check the status of your claim on va.gov.

What Does the VA Include in a Rating Decision?

The VA rating decision will include several sections. Each section will explain how they assessed your VA disability claim. The sections include:

  1. Introduction: The introduction of the rating decision will include some details about your military service. It will include the dates of services, military branch, type of claim you files, and other details about the nature of your claim.
  2. Decision: This section includes the actual claim decision. Here, the VA will state whether they approved your claim, the effective date that your disability compensation will begin, and the specific percent rating.
  3. Evidence: The VA will also list any evidence that they considered when assessing your claim. This evidence may include medical evidence, service treatment records, buddy statements, and more. Check this section carefully to make sure that the VA considered all of the evidence you submitted.
  4. Reasons for Decision: Here, the VA will break down exactly why they approved or denied your claim. They will reference specific evidence that they used in their decision, as well as the percent rating for the disabilities in question.
  5. References: This section will include all necessary citations for the rating decision. These citations may include information from the Code of Federal Regulations, details on a veteran’s right to appeal, and specifics about other regulations that are relevant to the VA claims process.

The rating decision should also include a cover letter (we refer to this document as the Notice of Action, or NOA). The NOA is important because the date of the NOA is the date that will be used to determine whether a Notice of Disagreement (VA Form 9) is timely. The NOA also includes a breakdown of the decision made on each issue and boilerplate language from the VA about the appeal process. Veterans have 60 days after receiving the NOA to files an NOD.

The rating decision is also accompanied by the rating sheet, which shows a history of all the claims ever made by the veteran.

Have Questions About Your VA Rating Decision?

If you were denied service connection or received a lower disability rating than you expected, the team at Hill & Ponton can provide legal advice and representation. Our veteran’s disability attorneys are committed to helping former service members and their family members obtain the VA benefits they deserve. Contact us today for a free case evaluation.

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