High-Complexity Nexus Review (11–15 Conditions)
High-complexity, litigation-grade medical analysis for cases involving eleven or more claimed conditions, extensive records, or layered secondary and aggravation pathways.
$10,000
By approval only.
Full Description
This service provides a comprehensive, records-based medical review for 11-15 claimed conditions, complex secondary service connection or aggravation relationships, prior denials, appeals, or cases involving conflicting medical evidence.
A licensed medical provider conducts an in-depth review of submitted service and medical records and prepares a detailed Independent Medical Opinion (IMO) when medically supported.
What This Includes
Comprehensive review of submitted service and medical records for 11-15 claimed conditions or complex medical questions
In-depth medical analysis of causation, aggravation beyond natural progression, and secondary relationships when supported by the record
Extensive longitudinal review
Multi-system analysis
Anticipation of negative VA evidence
Board-level defensibility
Detailed written Independent Medical Opinion (IMO) when medically supported
Secure electronic delivery of the completed opinion
What Happens After Checkout
After payment, you will receive a secure intake form with instructions to upload records
Medical review begins once intake and records are received and scope is confirmed
Your written opinion is delivered electronically within the typical timeline for Complex / IMO reviews
Important Information
This is a records-only service; no appointment, examination, or telehealth visit is required
Service includes medical record review and written medical opinions only; no diagnosis, treatment, legal advice, or VA representation is provided
Medical opinions are evidence-based and may be favorable, neutral, unfavorable, or declined depending on the records reviewed
Payment is non-refundable once records are accessed, review has begun
All VA claim and rating decisions are made solely by the Department of Veterans Affairs; no specific outcome is guaranteed
High-Complexity Independent Nexus – 11-15 Complex / Independent Medical Opinion
How We Define Conditions & Complexity
-
4+ plus conditions
-
Complex Cases: conditions or cases involving secondary connections, aggravation, extensive records, or prior conflicting opinions
Final determination is based on medical record review. If a case qualifies as complex after intake, clients are notified before work proceeds.
-

