Thursday, October 13, 2016

The Claims Process

The Claims process can be a daunting task if you are not aware of the best ways to complete your application.  The best way is to apply online at eBenefits.va.gov.  If you don't have an account you will need to register.  Once you are registered you can also request to have a Veterans Service Officer (VSO) appointed to assist you through the process.  These individuals are accredited by the VA and can provide valuable assistance to you.  They are also free of charge.

I know that some individuals have used lawyers.  Personally, I believe that it is more of a benefit to you to use the free VSOs mentioned above.  I would caution anyone who chooses to use a lawyer that they research them thoroughly.  I have heard horror stories about their service and be aware that they are going to take at least a 30-40% chunk of whatever you get.

You can also submit your claim via paper by using the VA Form 21-526EZ.  This link will take you directly to the form. http://www.vba.va.gov/pubs/forms/VBA-21-526EZ-ARE.pdf
You will also find extensive instructions on how to fill out the form.

Once your claim is submitted there are eight stages to the claim process:
1. Claim Received - Your claim has been received by the VA.  If you applied online with VONAPP Direct Connect (eBenefits), you should see receipt in your list of Oen Claims within one hour.  If you applied through US mail, please allow for mailing time and one week for it to be processed.

2. Under Review - Your claim has been assigned to a Veterans Service Representative and is being reviewed to determine if additional evidence is needed.  If no additional information is needed, your claim will move directly to the Preparation for Decision phase.

3. Gathering of Evidence - The Veterans Service Representative will request evidence from the required sources.  Requests for evidence may be made of you, a medical professional, a government agency, or another authority.  It is common for claims to return to this phase, should additional evidence be required.

4. Review of Evidence - All evidence needed has been received.  If, upon review, it is determined that more evidence is required, the claim will be sent back to the Gathering of Evidence phase.

5. Preparation for Decision - The Veterans Service Representative has recommended a decision, and is preparing required documents detailing that decision.  If more evidence is required, the claim will be sent back in the process for more information or evidence.

6. Pending Decision Approval - The recommended decision is reviewed, and a final award approval is made.  If it is determined that more evidence or information is required, the claim will be sent back in the process for more information or evidence.

7. Preparation for Notification - Your entire claim decision packet is prepared for mailing.

8.  Complete - The VA has sent a decision packet to you by U.S. mail.  The packet includes details of the decision or award.

The length of time to complete the process varies depending upon the complexity of your case.  Mine have been averaging about 3 months.  I would advise you to enroll in eBenefits because you can actually track the progress of your claim and see if it has been approved or denied, even before receiving your decision in the mail.

Thank you for your time.  Tomorrow I will explain the different types of disability claims and some how they work.

TTYL!!!

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