nexus letters & Medical opinions

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Many Veterans know firsthand how challenging it can be to secure affordable medical evaluations or nexus letters when filing a VA claim. It becomes even more difficult to find a provider who understands the specific documentation and language the VA expects. Most private physicians are unfamiliar with the VA disability system and are hesitant to get involved due to its complexity.

Even when a doctor is willing to offer a supportive opinion, these letters are frequently rejected by the VA because they don’t meet required standards — whether it’s due to missing medical rationale, vague wording, or lack of clear causation. From the perspective of the VA rater, an incomplete or poorly structured opinion can result in the entire claim being denied.

That’s why independent medical opinions (IMOs) are so important for Veterans seeking service-connected disability benefits. A major reason many claims are denied is the absence of strong documentation or a clear “nexus” — a link between a Veteran’s current health condition and their military service. Establishing this connection is key to receiving approval.

A well-written nexus letter by a licensed provider helps bridge that gap. It gives the VA evidence that ties the veteran’s symptoms or diagnosis directly to their time in service. In cases where prior opinions were negative or unclear, a properly structured medical opinion can make all the difference in achieving a favorable outcome.

One major challenge Veterans face is the lack of access to private healthcare providers. Many rely solely on VA medical centers for their care, but policies within the VA system typically prevent treating clinicians from writing nexus letters or completing DBQs (Disability Benefits Questionnaires) for disability claims. This is because the VA has its own department responsible for conducting disability evaluations, and it prefers to keep treatment and disability assessments separate.

The concern is that if two VA professionals issue differing opinions—one supportive and one not—it could create a conflict of interest. To avoid this, VA healthcare providers are instructed to focus strictly on treatment and not participate in disability evaluations.

Unfortunately, since most VA claims require a nexus letter to prove service connection, this puts Veterans at a disadvantage. Without access to a supportive medical opinion, the claims process becomes much harder. That’s where organizations like Vet Resource Group come in—offering impartial, affordable evaluations that help level the playing field for Veterans seeking the benefits they deserve.

With over six years of experience performing Compensation and Pension (C&P) exams, we can provide you with a consult regarding your claim & help determine if a disability is service-connected.

STEPS:

1) Call us to make an appointment.

2) Gather all medical records regarding your claim.

3) During appointment time we will discuss strategies on how to maneuver through the system.

4) Office visit with a thorough medical examination providing you with diagnosis for your condition(s). 

5) Nexus Letter written and sent to you.

6) Submit new information with claim to VA.

PRICING:

Includes office visit, comprehensive physical exam, review of medical records, consult, diagnosis, and treatment if required. 

Office Visit

$150 (for one condition), which can be covered by all major insurances, Tricare, and Community Care.

Nexus Letters

$100 for each letter

 We know how to navigate this journey with you, every step of the way.  Our cost on average is $250 and insurance typically covers $150 of your visit. This includes an office visit, physical exam, diagnosis, records review, and Nexus Letter. We do not keep any percentage of what the VA compensates you. 

We charge $100 for each Nexus Letter. Other places charge $500-$3,000 per each Nexus Letter, with an average price of $1,500. 

 At our core, we’re here for you — our Veterans. We pride ourselves on offering compassionate, top-tier customer service because we truly understand the sacrifices you’ve made in service to our country. Many of us have walked in your boots or alongside loved ones who have, so helping you isn’t just a job — it’s personal. We're not driven by profits; we’re driven by purpose. Supporting Veterans like you is our way of giving back and saying thank you for the strength, dedication, and protection you gave this nation. When you reach out to us, you’ll always be treated with respect, empathy, and the care you rightfully deserve.