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A plain-language walkthrough of how the VA decides a disability claim, and how to appeal. This is general information — not legal advice or claims representation.
A claim can return to the open phase — a deferral — if the reviewer decides more development is needed for a condition (for example, late-arriving medical evidence or exam clarification). The decision letter explains what further action is being taken.
All three are generally required for a condition to be granted.
This is a principle, not a strict requirement, but it drives many denials. If your records show a condition in service but then a long gap with no treatment, a reviewer may conclude the current condition is less likely related to service and more likely from something after service.
Example: a veteran files for back pain in 2026. Service records show a few complaints while deployed from 2010–2014, but there are no records of treatment from 2014 to 2026. With no evidence of ongoing care across that gap, an examiner may find the back pain is less likely due to service.
A gap is not the end of a claim. A medical evaluation and a well-supported medical opinion are exactly how a treatment gap gets addressed — and a free accredited VSO can help you build that evidence.
If you disagree with a decision, you have three options. Two of them must be requested within one year of the decision date — miss that window and you may lose your earliest potential effective date. A Supplemental Claim can be filed any time, but filing within a year protects that date too.
Two of the three appeal options must be requested within one year of your decision letter. Enter the date on your decision letter to see your one-year date. This is a calendar calculation, not legal advice.
Deadlines and rules can change and depend on your specific decision. Confirm dates with VA.gov or a free accredited VSO.
Accredited Veterans Service Organizations help veterans prepare and appeal claims for free. Find an accredited representative at VA.gov.
VA.gov →