ATTORNEY-REFERRED MATTERMedical Evidence Review
Medical records
C&P examinations
Service records
Lay evidence
Direct
Secondary
Aggravation
03 · ANALYSISRelevant literatureCompeting evidenceMedical reasoning
For Attorneys
You handle the legal strategy. We focus on the medical evidence.
Nexus Medical Opinions provides comprehensive, physician-reviewed medical opinion reports for firms handling VA disability matters involving direct service connection, secondary conditions, aggravation, and complex medical evidence.
Provide the records and the medical questions that need to be addressed. Nexus organizes the evidence, reviews relevant medical literature, evaluates competing explanations, and develops an integrated medical opinion for physician review.
04 · OUTPUTComprehensive Medical Opinion Report
PHYSICIANREVIEW
A cleaner handoff
You provide the case. We focus on the medicine.
When your firm provides the relevant record set and identifies the medical questions that need to be addressed, Nexus can move directly into medical review without waiting for veteran record collection.
The firm retains legal strategy and representation. The physician retains independent medical judgment.
- 01Case records
- 02Medical issues and questions
- 03Relevant procedural or case context when medically necessary
- 04Nexus medical analysis
- 05Physician-reviewed report
More than a template letter
Complex medical records need more than a conclusion.
VA disability matters may involve several conditions, several theories, and evidence that points in more than one direction.
Nexus evaluates those issues together so the medical opinion reflects the record as a whole rather than a collection of disconnected template letters. The medical analysis remains distinct from the firm's legal advocacy.
- 01Multiple claimed conditions
- 02Direct and secondary theories
- 03Aggravation questions
- 04Medication effects
- 05Competing risk factors
- 06Conflicting examinations
- 07Unfavorable evidence
- 08Incomplete chronology
- 09Lay evidence
- 10Medical literature
- 11Multiple possible causal pathways
One integrated work product
One case. Multiple medical questions. One coherent report.
When several medical issues arise from the same record, analyzing them together can provide a clearer picture of chronology, overlapping evidence, competing explanations, medications, secondary relationships, and relevant medical literature.
INTEGRATED MEDICAL WORK PRODUCTComprehensive Medical Opinion Report
The work product
Medical reasoning that can be followed from evidence to opinion.
The goal is not simply to state a conclusion. The report should show how the medical evidence was evaluated and why the physician reached the stated opinion.
- 01Records reviewed
- 02Relevant medical chronology
- 03Lay evidence
- 04Favorable evidence
- 05Unfavorable or competing evidence
- 06Medical literature
- 07Applicable medical framework
- 08Condition-specific analysis
- 09Alternative medical explanations
- 10Physician medical opinions
- 11References
Independent medical analysis
A credible opinion has to address the evidence that cuts both ways.
Nexus does not review a record solely for facts supporting a requested conclusion. Favorable evidence, unfavorable examinations, competing risk factors, chronology problems, alternative explanations, and limitations in the available record all matter to a medically supportable opinion.
If the evidence supports a medical relationship, the report should explain why. If the evidence does not allow a reliable conclusion, the medical analysis should say so.
Built around the firm’s record set
Less record chasing. More time focused on the medical question.
Attorney-referred matters often begin with an existing case file, identified medical issues, and records already assembled by the firm. That allows Nexus to move directly into evidence review and medical analysis.
- 01
Send the case materials
Provide the relevant records and the medical questions to be evaluated.
- 02
Nexus reviews the evidence
The medical record, relevant literature, competing evidence, and relationships between conditions are evaluated together.
- 03
Physician review
The physician independently reviews the medical analysis and determines whether to adopt or revise the medical opinions.
- 04
Completed report
The final report presents the medical evidence, analysis, supporting literature, and physician opinions in one integrated work product.
Clear roles
Your firm handles the law. Nexus handles the medical analysis.
The firm
- Legal representation
- Claim and appeal strategy
- Procedural posture
- Legal argument
- Client counseling
- Identifying the medical questions requiring review
Nexus
- Medical record analysis
- Chronology
- Relevant medical literature
- Competing medical explanations
- Medical causation and aggravation analysis
- Physician medical opinions
Nexus may use applicable VA medical and regulatory frameworks to understand the medical question being asked, but the physician report does not replace legal advocacy or determine entitlement.
Predictable pricing
Straightforward cost for complex medical work.
$1,200
For a comprehensive medical opinion covering up to five medical issues.
Additional medical issues$150 each after five
WHAT’S INCLUDED
- Comprehensive record review
- Relevant medical literature
- Integrated medical analysis
- Physician review
- Completed medical opinion report
GENERALIZED WORK PRODUCT PREVIEW
Evidence-to-Opinion Analysis
Record setOrganized for reviewQuestionsDefined by the matter
01 Chronology
02 Competing Evidence
03 Medical Literature
04 Physician Opinion
PHYSICIAN
REVIEWED
REVIEWED
See the work product
Review the report before you refer a case.
A de-identified sample report can show your firm how Nexus organizes the record, addresses competing evidence, incorporates medical literature, and presents physician medical reasoning.
Request a Sample ReportFor firms that value the medical record
Nexus is designed for firms that want the medical analysis handled thoroughly.
Potential fit
- Firms handling VA disability matters
- Cases involving several related medical questions
- Secondary and aggravation theories
- Conflicting medical evidence
- Cases where literature review is important
- Matters requiring an integrated physician opinion
- Firms that already maintain organized client records
Not intended to replace
- Legal representation
- Claims preparation
- Appeals strategy
- Attorney legal analysis
- VA-accredited representation
Frequently asked questions
Operational questions before you refer a matter.
Direct answers about scope, workflow, physician review, and role boundaries.
What types of VA medical questions can Nexus evaluate?
Nexus can evaluate medical questions involving direct service connection, secondary conditions, aggravation, medication effects, competing risk factors, conflicting examinations, and other complex relationships when the available record permits a medically supportable analysis.
Can one report address multiple conditions?
Yes. When several medical issues arise from the same record, they can be evaluated together so chronology, overlapping evidence, medications, competing explanations, and secondary relationships remain coherent across the report.
Can our firm provide the medical questions to be addressed?
Yes. The firm may identify the medical questions requiring review and provide relevant case context. Those questions define the scope of review without directing the physician to reach a particular medical conclusion.
How does Nexus handle unfavorable evidence?
Unfavorable examinations, competing risk factors, chronology problems, alternative explanations, and limitations in the record are considered alongside favorable evidence. A supportable opinion has to address the evidence that cuts both ways.
Does the physician independently review the opinion?
Yes. The physician independently reviews the medical analysis and determines whether to adopt or revise the medical opinions according to the evidence and the physician’s medical judgment.
Can we request revisions?
Attorney comments can be reviewed when they concern factual accuracy, completeness, the question presented, or needed clarification. Medical conclusions remain subject to the physician’s independent judgment and cannot be directed by the firm.
How do we provide case records?
For now, submission details can be discussed when the matter is referred. The intended workflow begins with the relevant record set, clearly defined medical questions, and any case context necessary to understand those questions.
Does Nexus provide legal opinions or representation?
No. Nexus provides independent medical opinion services. The firm remains responsible for legal representation, strategy, argument, procedural matters, and client counseling.
How long does a report take?
Timing depends on the size and complexity of the record, the number of medical questions, and whether the materials needed for review are complete. Attorney-referred matters can often move directly into medical review when the firm provides an organized record set and clearly defined medical questions. Specific timing can be discussed when the case is submitted.
Medical evidence for your next case