Medical opinions for your VA claim.
We prepare the evidence before physician review, match the condition to the right specialty, and return $849 if we recommend that your file should not advance. If you choose to advance against our recommendation to wait, the unsupported-opinion refund does not apply.
Start My ReviewWhat does a nexus letter review cost?
The fee is $899 per claimed condition. If you have more than one, begin with the condition you want reviewed first. A case specialist will help scope additional conditions after intake.
Independent Medical Opinion
One claimed condition, preparation by a Registered Nurse and Medical Coder, secure records follow-up, and a structured opinion authored by a specialty-matched physician.
Payment: The $899 service fee is paid at intake, not a deposit toward a second standard physician-review charge. Readiness review comes first; a supportive opinion or VA outcome is not guaranteed.
Before you pay: If you need multiple conditions reviewed, a DBQ, or an examination, ask our team to confirm the scope rather than assume it is included. Read our conditional refund protection for the two safety gates and their requirements.
Start My ReviewOpens in a new tab, so this page stays open. Our intake is a secure, HIPAA-compliant system that keeps your information protected. Attorneys and VSOs: submit on behalf of a client through our attorney intake. Not ready to purchase? General Inquiry.
My experience with Valor Medical Reviews has been very positive. The team has been professional, responsive, and genuinely helpful in guiding me through a complicated VA disability process, and I appreciate the time they've taken to answer my questions and help me understand my options.
Working with Valor Medical Reviews was an excellent experience from start to finish. The team was professional, responsive, and thorough, and I always felt like my questions and concerns were taken seriously. They took the time to carefully review my records and made the entire process straightforward and easy to understand. I especially appreciated the communication and attention to detail throughout the process. I would confidently recommend Valor to other veterans looking for knowledgeable and professional assistance.
No medical opinion or VA outcome is guaranteed.
The medical question shapes the opinion
A nexus opinion can address several theories of service connection. The physician evaluates the theory supported by your records and clinical history.
A condition linked directly to service
The review considers the current diagnosis, the in-service event or exposure, and whether the documented evidence supports a medical connection.
Learn about nexus lettersA condition caused by another condition
The physician evaluates whether a service-connected condition or its treatment caused or materially contributed to another diagnosed condition.
Compare connection typesA condition made worse
The review examines whether a service-connected condition worsened another condition beyond its expected natural progression.
See an aggravation exampleOpinions across a growing list of specialties
Mental Health
PTSD, anxiety, depression, military sexual trauma, and related functional impact.
Start ReviewOrthopedic
Back, joint, and other musculoskeletal injuries, including range-of-motion limitations.
Start ReviewEar, Nose & Throat
Hearing loss, tinnitus, sinus and breathing conditions, balance, speech, and exposures.
Start ReviewNeurological Conditions
Migraine, neuropathy, traumatic brain injury, and other documented neurological conditions.
Start ReviewDigestive Conditions
GERD, IBS, and other digestive conditions with direct, secondary, or aggravation theories.
Start ReviewComplex Medical Conditions
Respiratory, sleep-related, endocrine, metabolic, oncology, and other complex conditions.
Start ReviewAsk us. We can often match your case.
Our physician network keeps growing. If you do not see your condition, tell us what you are claiming and we will confirm whether we can make an appropriate specialty match before accepting the case.
Ask about your conditionWhat every Independent Medical Opinion includes
- Review of the complete final record set
- Service-record and history consideration
- Nexus opinion language
- Functional impact analysis
- Diagnostic and testing review, as documented
- Structured, well-substantiated written rationale
- Specialty-matched board-certified physician
- Questions about your completed opinion? Contact our team to discuss next steps.
Our structured review process
Secure Intake, Payment & Organization
Complete the focused $899 intake first. A case specialist then gathers and organizes the complete record set through a separate secure intake.
- HIPAA-compliant submission
- Records organized and reviewed
- Confirmation email provided
Case Validation & Specialty Match
Documentation is reviewed for completeness and matched to a board-certified physician in the right specialty.
- Missing items identified
- Clarifications requested if needed
- Specialty alignment confirmed
Physician Evaluation
A board-certified physician conducts an independent, structured review against clinical standards.
- Chronological record analysis
- Diagnostic criteria applied
- Evidence-based reasoning
Nexus Opinion Written
A structured, evidence-based medical opinion with nexus language and clear rationale is authored.
- Clear medical reasoning
- Nexus language and clinical rationale
- Defensible documentation
Secure Delivery
The completed written opinion is delivered securely to you or your representative.
- Secure delivery workflow
- Delivered to authorized parties
Complex cases or incomplete records may extend this. You will receive confirmation and timeline expectations after intake validation.
What stands behind every opinion
- Flat fee, never a percentage of your backpay
- Authored by a board-certified physician matched to your case
- Complimentary clinical readiness review before physician assignment
- Physician review recommended when the available evidence supports moving forward
- $849 returned and $50 retained for intake and payment processing if the file should not advance, with a practical evidence plan for returning later
- The same $849 return applies if we recommend advancing but the physician cannot support the requested opinion
- Independent physician judgment; no medical opinion or VA outcome is guaranteed
Common questions
Still have a question? Contact us and we'll point you the right way.
Who writes the medical opinions?
All opinions are authored by board-certified physicians actively practicing in their respective specialties. We do not outsource to non-clinical staff.
What is an independent medical opinion (IMO)?
An IMO is a structured medical evaluation conducted by a board-certified physician who reviews documentation and provides an objective, evidence-based written opinion grounded in clinical standards.
How long does the review process take?
Standard cases are completed within 14 days after Valor confirms your final required information and records are complete and ready for physician review, and many are delivered sooner. Complex cases or later-added information may extend the timeline.
Can attorneys submit cases on behalf of clients?
Yes. Attorneys may submit documentation on behalf of clients. All submissions must include appropriate authorization and relevant medical records.
Do you guarantee claim outcomes?
No. We provide independent medical opinions grounded in clinical documentation. The opinion's use and weight in your case depend on factors beyond our control.