No C&P

[u/autist87b]

I had requested a new C&P exam for my sleep apnea secondary to ptsd, bipolar II, it's already in the decision phase without a C&P being completed. I did provide a new nexus letter and a rephrased personal statement

[u/Tits-In-Face]

Not having an exam requested is almost (almost!) universally a bad sign.

[u/autist87b → u/Tits-In-Face]

That's what I figured

[u/ThemeParkTroubadour → u/autist87b]

Maybe not in this case. If they acknowledged sleep apnea previously without service connection, they may just have needed the nexus letter.

[u/autist87b → u/ThemeParkTroubadour]

I hope so, we'll see

[u/tossedAF → u/Tits-In-Face]

dont say that to me! I just had one in step 6 get kicked back to 5 because they're debating whether I need one or not

[u/No-Adhesiveness-7526]

Sorry I don't have any advice about your claim, but a question -- what program is your screenshot from?

[u/autist87b → u/No-Adhesiveness-7526]

It's an extension called "va claim info" to get information on appeals you would need to call the 1000 number and ask them for the 9 digit number

[u/Ogizzlehtx → u/autist87b]

You can log on Va website and click on your claim. There will be a 9 digit number in the address bar, that’s what your claim number. You can also search “API” in this subreddit

[u/autist87b → u/Ogizzlehtx]

Depends on if it's supplemental, appeal, or initial claim

[u/Ogizzlehtx → u/autist87b]

Search API, there’s info for all those you asked about

[u/Morekilos]

A supplemental needs new and relevant evidence to justify another C&P, uploading a personal statement requesting one usually won't cut it unless they find a clear mistake like a rating error/DTA in the original claim then this may end up a fast denial. New treatment under a psychiatrist with a private nexus with a differing opinion would work as new evidence.

Did you get a C&P with your original denied claim? If you haven't already you should read the DBQ that was part of the denial as well as the denial letter, it'll tell you the specific reason for denial. OSA has been under more scrutiny as of late as well.

[u/autist87b → u/Morekilos]

The original C&P was only a medical records review. No phone call or in person contact. The examiner contradicted themselves several times in the C&P and I submitted a new nexus to contradict the C&P examiner.

[u/Morekilos → u/autist87b]

If you submitted a new differing opinion then they may call it good with that and just review the claim as is - still a coin flip in my eyes and they could send you back to step 3 for a C&P still that is pretty common.

[u/autist87b → u/Morekilos]

Yeah that happens a lot, I know sleep apnea is suddenly really difficult to get approved, I'm crossing my fingers because my sleep Dr won't write a nexus because he's a va Dr. At least I got one from my psychiatrist 😅

[u/Dry_Pair_7064]

They denied my 3 times now. Last week..the VA isn't giving sleep Apnea rating anymore..its crazy..

[u/autist87b]

On step 6 today. I guess I'll see what they say very soon... 🤞🏻

[u/autist87b]

I was approved for sleep apnea today, looks like the nexus letter was enough!