Your three review options
| Option | Best when… | New evidence? | Form |
|---|---|---|---|
| Higher-Level Review | VA made an error with the evidence it already had. A senior reviewer takes a fresh look, and you can ask for an informal conference. | No | VA Form 20-0996 |
| Supplemental Claim | You have, or can get, new and relevant evidence, such as a medical opinion addressing why VA denied you. | Yes (required) | VA Form 20-0995 |
| Board Appeal | You want a Veterans Law Judge to decide. Choose direct review, evidence submission, or a hearing. | Depends on docket | VA Form 10182 |
Read your decision letter carefully
VA's decision notice explains what was granted and denied, the evidence considered, and any "favorable findings," which are points VA already decided in your favor and that bind later reviewers. Those findings, and the stated reasons for denial, tell us what evidence is missing.
Common reasons for denial
- No medical nexus opinion, or an opinion VA found inadequate (see nexus letters)
- No current diagnosis
- No evidence of the in-service event
- A C&P exam that was incomplete or based on an inaccurate history
- Missed exams or missing records
Many of these can be fixed. Some point to an error VA should correct. Others call for new evidence.
Send us your decision letter through our secure intake and we'll review your options and deadlines.
How we help, and how fees work
We review the decision, pick the review option that best fits the reason for denial, gather the evidence, and prepare the arguments. Because this work happens after VA's initial decision, it's covered by our contingency fee agreement: 20% of past-due benefits, and you only pay if we win. Details.
If a case goes beyond the Board to the U.S. Court of Appeals for Veterans Claims (generally within 120 days of the Board's decision), separate court representation rules apply. We'll help you understand your options at that stage.
Official sources
VA: Decision reviews · VA: Higher-Level Review · VA: Supplemental Claim · VA: Board appeal
This page is general information, not legal advice, and VA rules change. Last reviewed October 2026.