Record review & assessment
A written assessment of the evidence, its limitations, and what may be needed before an opinion can be supported.
Understand the review →For veterans. For the record.
Medical evidence for your VA disability claim.
Start with a $350 physician assessment. Understand what your records support and whether an opinion or DBQ is appropriate.
Veteran ownedPhysician ledBoard-certified specialistsEvery fact cited to the page
Find the right service
Evidence with a clear purpose.
A review helps determine which medical service fits your records and the questions in your claim.
Nexus letters & medical opinions
A physician explains whether the evidence supports a connection between a condition and military service or another condition.
Explore medical opinions →Disability Benefits Questionnaires
Condition-specific documentation of findings and functional impact, with an examination when clinically necessary.
Learn about DBQs →A considered process
Review first.
Decide with information.
You receive an assessment before deciding whether to purchase an opinion or DBQ. If the record does not support the requested opinion, we explain that.
An opinion covering one connection is $1,250, including the review credit. See fees and options.
Tell us what you need
Request a review. We confirm the scope and explain how to provide records securely.
Receive your assessment
Understand the supporting evidence, unanswered questions, and recommended next steps.
Choose how to proceed
Approve the scope and fee for additional work. Clinical review determines what can be supported and signed.
Start where you are
Support for veterans and their counsel.
I'm a veteran
Learn what to gather, what a review can tell you, and what each step costs. You can work with us directly or through your attorney.
Information for veterans →I'm an attorney
Refer a case for independent medical review, share records through the portal, and clarify the medical questions in a claim or appeal.
Information for attorneys →Need help with cost? Learn about free case screens and LOD Access.
Our practice
Military experience.
Medical independence.
Founded by a physician and U.S. Army veteran, Line of Duty Medical brings military experience and medical expertise to the review of veterans' records.
Our role is to provide an independent medical assessment. We explain evidence and uncertainty, and leave claim decisions to the VA.
Questions before you begin
All questions →- What is a VA nexus letter?
- A nexus letter is a written medical opinion that answers whether a veteran’s current condition is connected to military service. The VA standard is “at least as likely as not,” meaning 50 percent or greater. Line of Duty Medical writes these as independent medical opinions after a physician reviews the complete claims file.
- Is the $350 records review credited if I move forward?
- Yes. If your claim continues after the written assessment, $350 of the $350 review is credited against the nexus opinion or DBQ. If we tell you in writing that the record cannot support the claim, you have spent $350 and we stop there.
- Will the VA pay for my nexus letter?
- Almost never. The VA does not reimburse private nexus letters. Veterans pay before any award exists. That is why we lead with a flat review instead of asking for the full opinion fee before anyone has read the file.
For our team
Staff sign-in.
Practice staff and clinicians can open the secure workspace here.