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For VA Attorneys & Accredited Representatives
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Independent Medical Nexus supports VA disability law practices and accredited representatives by providing independent, records-based Independent Medical Opinions (IMOs) and medical nexus evaluations aligned with VA disability examination and adjudicative standards.

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Our opinions are designed to support appeals, hearings, and briefing and emphasize:

  • Clear, evidence-based medical reasoning tied to specific service and post-service medical records

  • Explicit analysis of causation, aggravation beyond natural progression, and secondary service connection when medically supported

  • Professional formatting and VA-appropriate medical probability language suitable for citation in legal and adjudicative contexts

  • Prepared with clear medical reasoning, supporting evidence, and medical probability language appropriate for review in VA disability matters.

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Engagement Options for Attorneys
Attorneys and accredited representatives may submit a matter for case-specific review or begin with the Medical Evidence Review. When the evidence supports proceeding, IMN identifies the appropriate Independent Nexus Evaluation pathway.


Service fees are based on case complexity and scope.

m with “Attorney Inquiry” in the subject line.

To discuss firm procedures, referral workflows, or appropriate case selection, please contact


Nexus@IndependentMedicalNexus.com with “Attorney Inquiry” in the subject line.

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Terms and Scope of Services Important Notice Current service descriptions, pricing, and terms published on this website supersede prior versions. Independent Medical Nexus provides independent, records-based medical review services for administrative, legal, and disability benefit purposes, including matters involving the U.S. Department of Veterans Affairs (VA). Services may include a Medical Evidence Review or an Independent Nexus Evaluation, depending on the service purchased and accepted for review. Reviews and evaluations are conducted by qualified, doctorate-prepared, U.S.-licensed medical clinicians. When a Specialist Physician Nexus Evaluation is selected and accepted, the evaluation is performed by a U.S.-licensed physician matched according to the medical question, relevant specialty expertise, case scope, licensure requirements, provider availability, and individual case acceptance. Independent Medical Nexus is not a treating medical practice. Services do not include medical examinations, diagnosis, treatment, prescribing, follow-up care, telehealth services, or ongoing medical management. The reviewing medical provider does not establish a physician-patient or other treating provider relationship with the client, does not assume responsibility for the client's medical care, and does not replace the client's treating healthcare provider(s). All medical findings and opinions reflect the independent professional judgment of the reviewing clinician based on the records and information available for review. No finding, recommendation, or opinion is predetermined or guaranteed. Medical Evidence Review The Medical Evidence Review is a stand-alone, records-based professional service designed to evaluate the available medical, service, exposure, and supporting evidence. The purpose of the review is to identify relevant medical issues or evidentiary gaps and determine whether the available evidence appears medically supportable for advancement to a full Independent Nexus Evaluation. The Medical Evidence Review includes written findings and recommendations. It does not include a Nexus Letter or Independent Medical Opinion. A Medical Evidence Review may determine that: • the available evidence supports proceeding to a full Independent Nexus Evaluation; • the available evidence does not currently support proceeding; or • additional evidence may be needed before a full evaluation is appropriate. The Medical Evidence Review is a separate professional service and its fee is not credited toward a later Independent Nexus Evaluation. Independent Nexus Evaluations Independent Nexus Evaluations involve independent review of the submitted records and evidence to determine whether a written medical opinion can be medically supported. When medically supportable, the completed service may include a written Independent Medical Opinion or Nexus Letter. No clinician is required to issue a favorable opinion or any opinion that is not supported by the available medical evidence. Findings or opinions may be favorable, neutral, unfavorable, inconclusive, or declined when the available evidence does not support a medically reasonable conclusion. General Scope of Services Services are limited to the medical records, service records, exposure information, and other supporting documentation voluntarily submitted for review. No in-person, virtual, or telehealth examination is provided unless specifically stated otherwise in writing. No diagnosis, treatment, prescription, or ongoing medical care is rendered. No provider-patient relationship is established. Independent Medical Nexus does not access VA systems, retrieve records on a client's behalf, or submit documents to the Department of Veterans Affairs. Independent Medical Nexus does not provide legal advice, claim representation, advocacy, or legal services. Records Policy Clients are responsible for submitting the records and information they want considered as part of the purchased service. The review is limited to the condition(s), medical question(s), and scope accepted for review. Additional conditions, substantially expanded medical questions, revisions, addendums, or significant new records submitted outside the accepted scope may require additional review and may involve an additional fee. Independent Medical Nexus will notify the client before performing work that requires an additional service or fee. Electronic Delivery and No Physical Shipping Independent Medical Nexus provides professional records-based medical review services and electronically delivered work product. No physical product is shipped. Written Medical Review Findings, Independent Medical Opinions, Nexus Letters, recommendations, receipts, notices, and other service-related documents may be delivered electronically through the email address provided by the client, a secure electronic portal, secure file link, or another electronic delivery method designated by Independent Medical Nexus. Clients are responsible for providing and maintaining accurate contact information, monitoring the email address used during intake, including spam or junk folders, and retaining copies of electronically delivered documents. Electronic delivery to the email address, secure portal, or other electronic delivery method designated for the client constitutes delivery of the completed work product. If a client reports a reasonable technical problem accessing an electronically delivered document, Independent Medical Nexus may provide another electronic copy using an available delivery method. No Physical Returns Because Independent Medical Nexus provides professional services and electronically delivered documents, no physical return process applies. Refund and cancellation eligibility is governed exclusively by the Payment and Refund Policy, the service-specific terms applicable to the purchased service, and the Independent Medical Nexus Service Agreement and Acknowledgment. Client Responsibilities Clients are responsible for submitting any completed Medical Review Findings, Independent Medical Opinion, Nexus Letter, or other documentation to the Department of Veterans Affairs or to any VSO, accredited representative, or attorney assisting with the claim. Independent Medical Nexus does not guarantee that the Department of Veterans Affairs will accept or assign any particular evidentiary weight to documentation provided. Payment and Refund Policy Full payment is required before review begins. The Medical Evidence Review is non-refundable because the service includes professional review time, medical analysis, and preparation of written findings and recommendations. The Medical Evidence Review fee is for the professional work performed and is not dependent upon whether the review supports a favorable nexus conclusion or recommends proceeding to a full Independent Nexus Evaluation. If the Medical Evidence Review determines that the available evidence does not support proceeding to a full Independent Nexus Evaluation, the written findings and recommendation constitute completion of the purchased service. For Independent Nexus Evaluations, cancellation requests received before records are submitted may be eligible for a refund, less a $350 administrative fee to account for intake, processing, case setup, and administrative services associated with the purchase. Once records are submitted, the evaluation enters the review workflow and the evaluation fee becomes non-refundable. Because services consist of professional review and electronically delivered work product, non-use of, disagreement with, failure to submit, or a decision not to rely upon completed findings or opinions does not create a right to a refund. Unauthorized chargebacks may be contested and do not alter financial responsibility for services purchased or professional work performed. No Outcome Guarantees Independent Medical Nexus does not guarantee: • issuance of a favorable medical opinion; • issuance of a Nexus Letter or Independent Medical Opinion; • VA acceptance of any medical opinion; • service connection; • a particular disability rating; or • approval of any VA claim. All VA claim determinations and disability ratings remain solely within the authority of the Department of Veterans Affairs. No medical opinion will be issued that the reviewing clinician determines is not medically supported by the records and evidence reviewed. Service Agreement and Acknowledgment Full service-specific terms are presented in the Independent Medical Nexus Service Agreement and Acknowledgment provided with the intake process. By purchasing a service and completing the applicable intake and acknowledgment process, the client agrees to the terms applicable to the service purchased.

 

© 2026 by Independent Medical Nexus. 

 

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We Service:  United States (Remote Medical Records Review)

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