Question 1

What is a Nexus Letter or Independent Medical Opinion (IMO)?

Accepted Answer

A nexus letter (also called an Independent Medical Opinion, or IMO) is a detailed medical statement written by a qualified healthcare professional that connects your current medical condition to your military service.

Question 2

Why is a Nexus Letter Important for My VA Claim?

Accepted Answer

The VA often requires clear medical evidence linking your diagnosis to your service.
If your current records don’t provide that connection, a well-written nexus letter can fill the gap and significantly strengthen your claim — especially when your service connection isn’t obvious or was denied previously.

Question 3

Who Writes the Nexus Letter?

Accepted Answer

At Military Disability Nexus, we coordinate with board-certified physicians and specialists who understand VA standards and language requirements.

Each letter is based on your medical history, service records, and current diagnosis, and includes a medical rationale that supports the opinion.

Question 4

Is the Nexus Letter Based Solely on Medical Record Review, or Does It Include a Physician Consultation?

Accepted Answer

Our Nexus Letters are typically based on a comprehensive document review of your service treatment records, VA files, and medical history.

However, if you’d like to speak directly with the physician before your letter is written, we offer an optional consultation:
•	Consultation Fee: USD $199 (fixed rate)
•	Conducted via secure video or phone
•	Scheduled after your records have been reviewed.

This option allows you to share additional context that may not appear in your records and ensures your Nexus Letter is personalized and precise.

Question 5

What Information Do You Need From Me?

Accepted Answer

What Information Do You Need From Me?
To prepare your Nexus Letter or IMO, we typically need:
•	Your DD-214 or proof of service
•	Service treatment records
•	VA decisions or denial letters
•	Current medical records (VA and civilian)
•	List of claimed conditions and relevant history

The more complete your records, the stronger and faster your documentation will be.

Question 6

How Long Does It Take to Get a Nexus Letter or IMO?

Accepted Answer

Our standard delivery time is 7–10 business days once we have received all required medical records and supporting documents.
If you need your documentation sooner, we offer an expedited rush service (available for an additional fee). Rush processing prioritizes your case and can significantly shorten turnaround time depending on complexity and specialist availability.
We’ll confirm your expected delivery date once your file review is complete and all necessary information is in hand.

Question 7

How Much Does a Nexus Letter Cost?

Accepted Answer

Our Nexus Letters start at USD $1,399.

Final fees vary depending on:
1. Number of conditions being addressed
2. Complexity of the medical review
3. Specialist involvement (if additional evaluation is required)

After your intake and records review, we’ll provide a detailed, transparent quote — no hidden fees, no surprises.

Fees cover medical documentation services only. They do not include VA filing or legal representation costs.

Question 8

Is Military Disability Nexus Affiliated with the VA?

Accepted Answer

No. We are not affiliated with or endorsed by the U.S. Department of Veterans Affairs.

Question 9

What If I Need Updates or Revisions Later?

Accepted Answer

If your claim remains open or the VA requests additional evidence, we can provide updates, clarifications, or supplemental reports as needed. These follow-up services are available at reduced rates for returning clients.

Question 10

Do You Guarantee My VA Claim Will Be Approved?

Accepted Answer

No. We provide objective, evidence-based medical documentation, but final decisions are made solely by the Department of Veterans Affairs (VA).

Question 11

Is My Information Secure?

Accepted Answer

Absolutely. We comply with all HIPAA privacy and security standards.
Your medical records and personal information are handled with strict confidentiality throughout the entire process.

Independent Medical Opinion / Nexus Letter

Overview

What's Included

Frequently Asked Questions

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