We offer Nexus Letters for standard, complex, and multi-condition cases, each tailored with expert medical opinions to support your VA disability claim effectively.
Basic
Single, Straightforward Condition
$
400 Tier 1
Description: Covers one medical condition with a clear, direct connection to military service.
Complexity: Minimal. The service connection is well-documented or the condition is commonly recognized (e.g., hearing loss due to documented noise exposure).
Requirements: Limited review of records, straightforward medical rationale, and minimal supporting evidence needed.
Basic
Intermediate
Multiple or Moderately Complex Conditions
$
450 Tier 2
Description: Addresses two or more related conditions, or a single condition with complicating factors (e.g., secondary conditions, unclear onset, or partial documentation).
Complexity: Moderate. Requires more in-depth review of medical and service records, and a more detailed explanation to connect the conditions to service.
Requirements: Moderate amount of evidence, may include references to medical literature or studies, and a more nuanced medical opinion35.
Intermediate
Advanced
Multiple, Complex, or Rare Conditions
$
500 Tier 3
Description: Involves three or more conditions, rare or poorly documented conditions, or cases with significant ambiguity (e.g., delayed onset, complex causation, or conditions not on the VA presumptive list).
Complexity: High. Requires comprehensive review of extensive records, synthesis of multiple sources of evidence, and detailed medical rationale. May involve referencing advanced medical studies and addressing conflicting evidence.
Requirements:Extensive supporting documentation, thorough explanation, and possibly coordination among multiple specialists
Advanced
Processing speeds
Standard
2 weeks
+$50
Expedited
1 weeks
+$100
All services include
Review by a board-certified U.S. physician
Secure document upload & private client portal
HIPAA-compliant processing & delivery
One revision request within 7 days (if needed)
Refund & Revision Policy
We offer full refunds if your case has not yet entered physician review.
Once physician review begins, the service is considered rendered.
One revision is included if requested within 7 days of delivery.
Additional revisions or major changes may incur a fee depending on case complexity.
