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Records-Only Nexus Evaluation for Two or Three Claimed Conditions
or Single Conditions Requiring Expanded Medical Analysis

 

Full Description

Designed for Veterans with two or three claimed conditions that must be evaluated together, or for cases where a single condition requires a higher level of medical analysis.

 

This includes situations where conditions may be medically connected, such as secondary service connection or aggravation, and require a clear, structured explanation of how one condition causes or worsens another based on the medical evidence.

 

👉 A single condition may fall into this level of review when prior VA decisions, conflicting medical evidence, or more detailed medical reasoning must be addressed to support the claim.

 

This level of review is appropriate when the relationship between conditions—or the depth of analysis required—must be clearly defined for VA evaluation.

 

Examples may include:

  • Migraines associated with vertigo
  • Tinnitus linked to additional symptoms
  • Cases involving prior denials requiring more detailed medical explanation

 

A US doctorate- level licensed medical provider reviews submitted service and medical records and prepares a written medical nexus opinion addressing the claimed conditions when medically supported.

 

What This Includes

  • Review of submitted service and medical records claimed conditions

  • Independent medical analysis addressing each claimed condition, including secondary or aggravation relationships when supported

  • A written medical nexus opinion 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 records are accessed

  • Your written opinion is delivered electronically within the typical timeline for multi-condition 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

Independent Nexus Evaluation – Multi Conditions

$1,895.00Price
  • How We Define Conditions

     

    Single Condition

    Evaluation of one claimed condition when no additional medical relationships or expanded analysis are required.

     

    Multiple Conditions (2–3 Conditions) or Complex Single

    Evaluation of two or three claimed conditions, including situations where conditions may be medically connected and require explanation of how they relate to each other.

     

    Advanced Cases (4+ Conditions or High Complexity)

    Evaluation of claims requiring a higher level of medical analysis due to multiple interrelated conditions, prior denials, conflicting medical evidence, or extensive records requiring deeper review.

     

    Case Complexity

    Some cases require a higher level of clinical analysis regardless of the number of conditions involved.

    This may include:

    • Secondary service connection
    • Aggravation analysis
    • Prior VA denials or conflicting medical opinions
    • Extensive or medically complex records

     

    Case level is determined by overall medical complexity, not solely the number of conditions. If a case requires a different level of review, this will be identified and discussed before proceeding.

     

    Important

    Secure checkout. No work begins until your records are reviewed and your case is confirmed appropriate for the selected level of evaluation.

    Final determination is based on medical record review. If a case requires a higher level of analysis after intake, you will be notified prior to proceeding.

Terms and Scope of Services Important Notice All services are provided as independent, records-based medical reviews and written opinions only. No diagnosis, treatment, or legal representation is provided. Payment is required before review and is non-refundable once records are accessed. Full terms are presented in the Service Agreement at the end of the intake form. – The service is limited to a review of medical and service records that I voluntarily submit at time of payment/checkout. – The service provided is an independent medical opinion only. – No in-person or virtual examination is provided. – 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 my behalf, or submit documents to the VA. – Independent Medical Nexus does not provide legal advice, advocacy, or representation before the VA. – The medical opinion is based solely on the records and information I submit. – A medical opinion may be favorable, neutral, unfavorable, or declined depending on whether the evidence supports a medically reasonable conclusion. **Records Policy** I confirm **all records submitted represent everything I want reviewed**. **The medical review and opinion will be based solely on records received at time of payment/checkout.** **Review begins immediately upon receipt of records.** Additional records later require new service purchase (full fee applies). **Client Responsibilities** – I am responsible for submitting the completed nexus letter or IMO to the VA or to any representative or attorney assisting with my claim. – This review is limited to the condition(s) identified in my intake. Additional conditions, revisions, or addendums may require an additional fee. **Payment & Refund Policy** – Full payment is required before review begins. – Payments are **non-refundable once records are accessed OR review has begun**. – A refund may be issued **only if** written cancellation request received **before records are accessed OR before review has begun**, less a **$300 administrative fee**. Chargebacks will be contested and do not relieve you of your financial responsibilities. **No Outcome Guarantees** – Independent Medical Nexus does not guarantee VA claim approval, disability ratings, or acceptance of any opinion. – VA decisions remain solely at the discretion of the Department of Veterans Affairs.

 

© 2026 by Independent Medical Nexus. 

 

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We Service:  United States (Remote Medical Records Review)

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