If you’re a veteran who disagrees with the decision made on your disability claim by the Department of Veterans Affairs (VA), you have the option to request a Higher-Level Review (HLR). This process allows a senior reviewer to reassess your case to determine if an error or a different interpretation of the evidence could lead to a different outcome. However, it’s important to note that new evidence cannot be presented during this review.
What is the Higher-Level Review (HLR)?
The HLR process gives veterans the opportunity to challenge a VA decision without having to start a new claim from scratch. Rather than submitting new evidence, the focus of the HLR is on a re-examination of the original decision and the evidence already on file. The reviewer will determine if any mistakes or misinterpretations occurred, which could result in a favorable outcome for the veteran.
The HLR process is available for initial claims or decisions made on Supplemental Claims. It provides veterans with a second chance to have their case reviewed by a more senior-level official to ensure fairness and accuracy.
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Eligibility for a Higher-Level Review
To request an HLR, you must meet the following requirements:
- Time Limit: You must file your request within one year from the date on your decision letter. Failing to do so will forfeit your right to request this review.
- Type of Decision: The HLR is available for both initial claims and Supplemental Claims. It’s important to determine the type of decision you’re contesting to ensure you follow the correct process.
The Timeline for HLR Completion
The VA aims to complete Higher-Level Reviews within an average of 125 days. However, the timeline can be extended if you opt for an informal conference, which is a phone call where you can explain why you believe the decision should be changed. During this conference, you or your representative can point out errors in the original decision and request a review based on those concerns.
If you prefer to speed up the process, you may choose to submit a written statement instead of requesting an informal conference. This decision can help streamline the process and avoid delays that may arise from scheduling a phone call.
How to Request a Higher-Level Review
There are several ways you can submit your HLR request:
Online Submission:
- You can use the VA’s online form for HLR requests, specifically for disability compensation claims. This method is the quickest and most efficient way to submit your request.
By Mail:
- Complete VA Form 20-0996, which is the formal request form for the HLR process. This form can be mailed to the appropriate address based on the type of benefit you’re seeking. For disability compensation claims, the form should be sent to the VA Claims Intake Center in Janesville, WI.
In-Person Submission:
- You also have the option to submit your HLR request in person by visiting your local VA regional office and handing in the completed form.
Make sure to refer to the specific mailing address listed in your decision letter to ensure the form is sent to the right location.
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What Happens After You Submit Your Request?
Once you submit your HLR request, you generally don’t need to take any further action unless the VA contacts you for additional information or schedules an examination. If you have requested an informal conference, the reviewer will attempt to call you twice. If they are unable to reach you, they will leave a voicemail and proceed with the review using the information on file.
It’s essential to be patient as the VA processes your request. If you’ve provided all the necessary details and have not requested a conference, the process may move along faster.
Conclusion
The Higher-Level Review process provides veterans with a vital tool to challenge VA decisions without needing to present new evidence. By having a senior reviewer look over your case, you ensure that any mistakes in the initial decision are addressed fairly. Whether you choose to request an informal conference or submit a written statement, it’s important to act within the one-year time limit and follow the correct submission process. This second chance at having your case reviewed can make a significant difference in the outcome of your claim.
