Nexus Letters

For VA Disability Claims

At MD Nexus Pros, we specialize in creating thorough, physician-authored Nexus Letters that help U.S. veterans establish the vital service connection needed to win VA disability claims. Our letters are not templates — they are custom, evidence-based medical opinions tailored to your history and health.

What Is a Nexus Letter?

A Nexus Letter is a professionally written medical document created by a U.S.-licensed physician. It explains the medical connection between a veteran’s current diagnosed condition and their military service.

This type of letter is especially important when a condition was not formally diagnosed during active duty or when the condition is secondary to another service-connected disability. The letter provides a clear, evidence-based medical opinion that can support your VA disability claim.

Without a well-written Nexus Letter, many valid claims risk being denied due to a lack of clear medical justification linking the condition to military service.

What’s Included ?

We provide a physician-reviewed, medically justified Nexus Letter based on your VA file, records, and service history—professionally written and securely delivered through our encrypted portal.

Is a Nexus

Letter Right for You?

If your claim has been denied or delayed due to lack of medical connection — or if your diagnosis occurred after your service ended — then a Nexus Letter may be the key to moving forward.

Nexus Letter Price List

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