$250
Medical Records Review
A contracted M.D. or D.O. reviews your evidence and tells you what may be medically supportable before you buy a full nexus letter.
From $895 · flat fee
Nexus Letter / Independent Medical Opinion
A licensed M.D. or D.O. reviews your evidence and, when it is medically supportable, writes an individualized Independent Medical Opinion with a detailed rationale.
Overview
What exactly is a nexus letter?
A nexus letter is a written medical opinion addressing whether a current condition is related to service, to another service-connected condition, or was aggravated by one.
Your letter is developed around your own records and history. We do not sell predetermined favorable opinions, and no physician simply signs a template.
If the reviewing physician determines the evidence does not support a nexus opinion, you are not charged for a letter that cannot ethically be written.
Best for: Veterans with a diagnosed non-mental-health condition they believe is connected to service.
Typical turnaround: up to 4 weeks
Payment plans available through Affirm
Split your flat fee into monthly payments at checkout. Flexible payment arrangements may be available to qualifying applicants. Eligibility and terms are determined by Affirm. We never take a percentage of your VA back pay.
Included
What's included.
- Independent review by a licensed M.D. or D.O.
- Individualized analysis of relevant military, VA, and civilian evidence
- Direct causation, secondary causation, and aggravation addressed when applicable
- VA-appropriate probability language such as "at least as likely as not" when medically supported
- Detailed medical rationale explaining why the evidence supports the conclusion
- Peer-reviewed medical literature cited when it meaningfully supports the analysis
- One revision included when necessary and medically appropriate
Pricing & terms
What it costs, in plain English.
- Flat fee starting at $895. Complex files with multiple conditions may be quoted higher, and you always know the price before you move forward.
- One-time, transparent flat fee. No hidden fees. We never take any of your VA back pay.
- Payment plans available through Affirm. Flexible payment arrangements may be available to qualifying applicants. Eligibility and terms are determined by Affirm.
- Typical turnaround is up to 4 weeks after your records are complete.
- Mental-health conditions are handled through the Individual Psychological Evaluation Package instead.
Payment plans available through Affirm
Split your flat fee into monthly payments at checkout. Flexible payment arrangements may be available to qualifying applicants. Eligibility and terms are determined by Affirm. We never take a percentage of your VA back pay.
What to expect
How it works, step by step.
1
Upload your records securely
Upload the relevant documents through the secure, HIPAA-compliant client portal.
2
The doctor prepares the applicable letter or letters
A licensed M.D. or D.O. reviews the evidence and writes each medically supportable opinion.
3
Review before accepting the final version
You review the draft for factual accuracy and completeness before accepting the final, signed letter.
Questions
Common questions about this service.
Does a nexus letter guarantee my claim is granted?
No. VA decides claims. A well-developed medical opinion is evidence VA must consider, but no one can guarantee an outcome.
What if the physician cannot support my claim?
You are not charged for a letter that cannot be ethically written. That independence is part of what gives an opinion credibility.
Can you address a secondary condition?
Yes. Secondary causation and aggravation are addressed when the evidence supports it.
Other services
Not quite the right fit?
$1,595
Individual Psychological Evaluation Package
A telehealth evaluation with a psychologist licensed in your state, starting with a free screening before you pay the full fee.
Talk with a real person about your case.
Call now - our team is happy to help.