C&P Said No Diagnosis

sadtrash56

Well-Known Member
PEB Forum Veteran
Registered Member
Hello all. I have been searching this site, Google, Reddit, and a couple Facebook groups but struggling to find answers. C&P examiner wrote on the DBQ that I have no diagnosis for my referred physical condition except it is blatantly in my medical records (civilian referral due to no doctors on base who work in that field) with treatment dating back to five/six years ago and as recent as this month. I'm worried because supposedly he looked at all my files, but if so, how did he come to the conclusion that I have no diagnosis, no symptoms, no functional impact which is all false? What can I do to fix this? Now I feel very skeptical that my files were not and will not be examined properly, and advice from the regulars on this forum suggest fixing things early and often so I am trying to get ahead of the curve here since I feel like I can't trust anybody in this process. MSC and PEBLO have not been helpful either and they only told me to wait and see what comes back from the raters.
 
Hello all. I have been searching this site, Google, Reddit, and a couple Facebook groups but struggling to find answers. C&P examiner wrote on the DBQ that I have no diagnosis for my referred physical condition except it is blatantly in my medical records (civilian referral due to no doctors on base who work in that field) with treatment dating back to five/six years ago and as recent as this month. I'm worried because supposedly he looked at all my files, but if so, how did he come to the conclusion that I have no diagnosis, no symptoms, no functional impact which is all false? What can I do to fix this? Now I feel very skeptical that my files were not and will not be examined properly, and advice from the regulars on this forum suggest fixing things early and often so I am trying to get ahead of the curve here since I feel like I can't trust anybody in this process. MSC and PEBLO have not been helpful either and they only told me to wait and see what comes back from the raters.
It is very common for examiners to miss documents. As an example, literal years of my documents were not visible to the VES examiner even though they were visible on the Army side. Also, the examiner could have simply just missed the documents if there were extensive amounts.

Put together a small packet for each condition. Include an official clinical document showing the diagnosis and a few pages showing treatment. If there's extensive treatment records, maybe consider having the doctor's office write a note saying you've been treated from begin date to present or end date. Shorter and to the point is best. Have a cover sheet (statement in support of claim) for each packet that makes it very easy and clear stating the claimed condition, a short couple of sentences about the issue, it's impacts on you, and list the diagnosis and treatment dates. Do not alter or blackout any of the documents or they will not take them. You can use the below form as the cover letter.


Submit each of these packets individually to the VA evidence claim portal at VA.gov. Do this even if your branch of service says they already submitted them. It will provide backup later ensuring they were received. Then call the VA hotline and have them put a note in the file of the additional evidence specifically stating that the examiner missed this evidence as per the DBQ. Additionally, this was the only way I could get VES to be able to see the documents.

The moment you mention IDES to the claims person, they may cut you off and read from a script. Try to remain just on the exam/evidence side of the conversation.
VA phone for claims department 800-827-1000 -


Have each of these packets ready should you then need to appeal your findings. It is likely you will based on what you are stating. Consider hand carrying in the evidence should you need to be reevaluated during the appeals. They normally will not take hand carry documents, but if you're convincing and let them know that the evidence was missing from the file, which is why you're there again, they may. Mine did.

You mention your PEBLO and MSC, but have you alerted your legal counsel yet? Definitely do so.

Dave

(A mod can move the conversation to wherever it fits best)
 
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It is very common for examiners to miss documents. As an example, literal years of my documents were not visible to the VES examiner even though they were visible on the Army side. Also, the examiner could have simply just missed the documents if there were extensive amounts.

Put together a small packet for each condition. Include an official clinical document showing the diagnosis and a few pages showing treatment. If there's extensive treatment records, maybe consider having the doctor's office write a note saying you've been treated from begin date to present or end date. Shorter and to the point is best. Have a cover sheet (statement in support of claim) for each packet that makes it very easy and clear stating the claimed condition, a short couple of sentences about the issue, it's impacts on you, and list the diagnosis and treatment dates. Do not alter or blackout any of the documents or they will not take them. You can use the below form as the cover letter.


Submit each of these packets individually to the VA evidence claim portal at VA.gov. Do this even if your branch of service says they already submitted them. It will provide backup later ensuring they were received. Then call the VA hotline and have them put a note in the file of the additional evidence specifically stating that the examiner missed this evidence as per the DBQ. Additionally, this was the only way I could get VES to be able to see the documents.

The moment you mention IDES to the claims person, they may cut you off and read from a script. Try to remain just on the exam/evidence side of the conversation.
VA phone for claims department 800-827-1000 -


Have each of these packets ready should you then need to appeal your findings. It is likely you will based on what you are stating. Consider hand carrying in the evidence should you need to be reevaluated during the appeals. They normally will not take hand carry documents, but if you're convincing and let them know that the evidence was missing from the file, which is why you're there again, they may. Mine did.

You mention your PEBLO and MSC, but have you alerted your legal counsel yet? Definitely do so.

Dave

(A mod can move the conversation to wherever it fits best)
Thank you so much for your thorough advice! The time and diligence you took to write this message is greatly appreciated. I am working on creating these packets for each condition now... Fingers crossed!
 
Thank you so much for your thorough advice! The time and diligence you took to write this message is greatly appreciated. I am working on creating these packets for each condition now... Fingers crossed!
Happy to help if I can. I remember starting this process and feeling left in the dark till I found this forum. Great people here helped me and now I get a chance to return the favor.

Keep reading posts on this site. Study up on VARR appeals. Good luck!

Dave
 
How short is "short" or a "small packet"? My follow-up statement will need to include about 10 visits with providers to prove what I am saying (even though I've already submitted these docs via Quick Submit).
 
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