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TopVARating
ENES

Nexus letters and DBQs

Private doctors and services that write nexus letters, independent medical opinions and Disability Benefits Questionnaires (DBQs).

02

Claim Climbers

Score pending

Flat feeRecords review and nexus letters; prices not yet checkedMedical, n/a
04

Evidence Command

Austin, TX (mailing) · Score pending

Flat feeFlat-rate; reviewers cite a $200 to $300 technology access feeMedical, n/a
05

MRPY Professional Services

Score pending

Flat feeAssessment + nexus/DBQ package typically $1,000 to $2,000 (per review thread)Medical, n/a
07

REE Medical

Score pending

Flat feeFlat fee; complaints describe $1,595 to $7,500; another source cites ~$2,500 to $4,000Medical, n/a
08

Rosen Experts

Lauderdale-by-the-Sea, FL · Score pending

Flat fee$1,000 per letter; +$400 72-hr; DBQs $199 per conditionMedical, n/a
10

Telemedica

Score pending

Flat feeNot published; quote after intakeMedical, n/a
11

Valor 4 Vet

OH · Score pending

Flat fee$150 records review; $600 nexus; $900 exam/DBQ/nexus comboMedical, n/a
12

VetNexusMD

Score pending

Flat fee$500 records review + $1,000 per condition; $800 rushMedical, n/a
13

XTerra Health

Score pending

Flat feeMenu $50 (DBQ add-on) to $1,500 (Section 1151 opinion); nexus letter $500Medical, n/a

Questions to ask before you sign

Who signs the letter, and what are their credentials?

Is the fee flat, or tied to my rating?

Do you review my service and medical records first?

What happens if VA rejects the opinion?

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