Evidence Built Right

Clinically defensible medical nexus documentation

Service Menu & Pricing

MSK DBQs — In-Person Examination

(Not a Virtual Chart Review Like Other Companies)

San Antonio surcharge ($250)

Travel costs — charged once per appointment day, not per condition

Nexus Letter / IMO — Records Only (NO IN-PERSON EXAM)

Every Nexus Letter produced by Atlas Veteran Medical is a full Independent Medical Opinion — individually researched, clinically reasoned, and built around your specific case. With 7 years in the VA ICU and 7 years as a VA C&P examiner, we know exactly what VA raters need to see. No in-person visit required. Available nationwide via remote record submission.

Full review of service treatment records, VA decisions, and private medical records
Every letter is a complete IMO — not a template, not a form letter
APA-cited peer-reviewed medical literature supporting every clinical argument
38 CFR regulatory framework and VA case law applied throughout
Signed, credentialed opinion — secure digital delivery

TURNAROUND: Standard 7-10 business days · Rush 48-hour delivery: +$150

$850

OKC

$1,100

Availability

Nationwide

Nexus Letter / IMO + DBQ Examination

Our most comprehensive service. Includes your full Independent Medical Opinion, chart review, and one in-person DBQ examination — bundled at no extra charge. Unlike other providers who conduct a virtual chart review and call it a DBQ, Atlas Veteran Medical performs an actual physical examination. MSK conditions in person. Non-MSK via telehealth.

Full chart review bundled — no separate record review fee
Complete Nexus Letter / IMO individually written for your case
MSK conditions: actual in-person physical examination (OKC or San Antonio)
Non-MSK conditions: telehealth available from either location
Related conditions bundled as one exam — never double-billed
Each additional condition or joint: +$400 (all locations)

BUNDLED AS ONE EXAM — NO EXTRA CHARGE: Thoracolumbar spine + radiculopathy / peripheral neuropathy · Diabetes + diabetic neuropathy · Cervical spine + upper extremity neuropathy · Primary condition + direct neurological sequelae

TURNAROUND: Standard 7-10 business days · Rush 48-hour delivery: +$150

$1,300

OKC

$1,550

Additional DBQ Examinations | ADD-ON | Per Joint / Condition

Each additional joint or condition examined beyond the first DBQ. The San Antonio travel surcharge is applied once per appointment day — the more conditions you bundle into a single visit, the better the per-condition value. Secondary neuropathy, radiculopathy, and conditions flowing from a primary diagnosis are bundled at no charge.

Right shoulder + nexus — OKC $1,300 / SA $1,550
- Left shoulder (+$400) — OKC $1,700 / SA $1,950
Add lumbar spine + radiculopathy bundled (+$400) — OKC $2,100 / SA $2,350
Add bilateral knees — 2 exams (+$800) — OKC $2,900 / SA $3,150
Neuropathy / radiculopathy bundled with primary — no extra charge

SA surcharge ($250) charged once per appointment day — covers the entire visit regardless of how many conditions are examined.

$400

All Locations

Complex / Denied Claims IMO | Rebuttal • Multi-Condition • Appeals

When the VA's examiner got it wrong, you need someone who can prove it in writing with clinical authority. After 7 years in the VA ICU and 7 years as a VA C&P examiner — with over 5,000 disability examinations completed — we know exactly how inadequate exams are constructed, where reasoning falls apart, and how to dismantle them point by point. No DBQ included. Available nationwide.

Deep analysis of denial rationale and VA examiner's specific findings
Direct point-by-point rebuttal of negative VA opinion
VA case law citations and BVA decision references throughout
Peer-reviewed medical literature supporting every clinical argument
No in-person exam required — available nationwide

TURNAROUND: Standard 7-10 business days · Rush 48-hour delivery: +$150

$1,650

OKC

$1,900

ADDITIONAL SERVICES

Appeal Rebuttal Letter (OKC $550 / SA $750)

A focused written rebuttal to a specific VA denial or inadequate C&P opinion. Includes direct citation of the examiner's inadequacies, medical literature, and regulatory authority. 7-10 business days. Rush +$150.

Records Review & Consultation ($350 — All Locations)

Full review of your available records with a written summary identifying your strongest service connection arguments, documentation gaps, and recommended next steps.

Rush Processing (+$150 — All Services)

Delivers your completed opinion within 48 hours of receiving all required records. Contact us to confirm availability before ordering.