VA Leaves 13,000+ Appeals in Boxes Unprocessed

An Office of the Inspector General (IG) audit of the Veterans Health Administration (VHA) Office of Community Care revealed that some VA disability claim offices were not processing a large number of appeals for years.

In a November 21, 2019 report the IG audit showed that leading up to the implementation of the Appeals Modernization Act the VHA was not prepared. More specifically, the audit revealed that a large majority of claims were going unprocessed for years at a time.

If a veteran receives medical care at a non-VA hospital, that veteran can file a claim with the VA to be reimbursed for that care. If the claims processors are not able to properly process or fail to process those claims and appeals then veterans can be left with financial liability for the care.

The leaders at the VHA Community Care Offices had little oversight or structure within the appeals process and were unaware of the backlog of unprocessed claims and appeals. The audit revealed that appeals and claims were being mailed to offices that did not have any staff assigned to process them, and so, the claims and appeals were left sitting unprocessed in boxes, cabinets, and offices. When the audit team visited 10 of the 80 offices they found more than 8,800 appeal documents sitting unprocessed. It was also discovered that there was no system in place to track, record, or monitor any of the appeals until July 2018. As of February 2019, the Offices said they have 13,935 appeals and the audit showed that more than 12,000 of those were pending for an average of two years.

Legal Assistance with Veteran’s Claim

If you are a veteran that has been denied VA disability benefits or is unhappy with a VA disability rating call our advocates for veterans at 855-855-8992 or complete our free online veteran’s disability case evaluation form.

More Articles

The Importance of Documentation: Gathering Evidence for a PTSD VA Disability Claim

The Importance of Documentation: Gathering Evidence for a PTSD VA Disability Claim Post-traumatic stress disorder is one of the most common reasons veterans receive VA disability benefits. In 2022, 1,343,669 veterans were receiving benefits for service-connected PTSD....

How to Win Your PTSD Claim

How to Win Your PTSD Claim - Donnel Beckles, Managing VA Advocate, Veterans Help Group Donnel Beckles is a top Veterans Advocate, and a member of the National Organization for Veterans Advocates. Donnel is accredited to practice...

PTSD and Veterans: Understanding the 100% Disability Rating Requirements

PTSD and Veterans: Understanding the 100% Disability Rating Requirements Post-traumatic stress disorder is common among veterans, and many veterans receive veterans disability benefits for the condition. However, most are rated less than 100% disabled. The standard...

What Causes PTSD to be Triggered in Veterans?

In the past 15 years, the estimated number of veterans who have been diagnosed with PTSD currently numbers more than 500,000. As many as 60,000 of these veterans are Iraq and Afghanistan war veterans. Estimates show more than 20% to 30% of veterans...


"*" indicates required fields

This field is for validation purposes and should be left unchanged.