The VA’s Higher-Level Review (HLR) process has become a vital resource for veterans seeking to challenge unfavorable decisions on their claims. If your claim was denied or you disagree with the rating decision, filing an HLR gives you the opportunity to have your case reviewed by a senior claims adjudicator without having to introduce new evidence. While the process can seem daunting, taking the right steps can significantly improve your chances of success in 2025.
The first step in filing a strong HLR request is understanding the eligibility criteria. Higher-Level Reviews are only applicable to claims where new evidence is not required or permitted. This means that the review will focus solely on the existing evidence submitted with the original claim. Veterans who have additional evidence to present may need to consider a Supplemental Claim instead.
Next, gather and review your decision letter carefully. The decision letter includes the VA’s reasoning for denying your claim or assigning a lower rating than expected. Pay close attention to the reasons provided, as they will guide your approach to the HLR. For example, if the VA cited a lack of connection between your condition and your service, your strategy might involve clarifying existing evidence of service connection.
When preparing your HLR request, you have the option to request an informal conference with the VA. This is a phone call where you can speak directly with the senior reviewer handling your case. In 2025, the VA has streamlined this process by allowing veterans to schedule informal conferences through the online claims portal. This interaction can be invaluable, as it allows you to explain your case and address any potential misunderstandings directly with the reviewer.
A key part of filing a strong HLR request is writing a clear and concise statement on VA Form 20-0996, the official form used to initiate the review. In your statement, focus on the specific errors you believe were made in the original decision. Avoid generic complaints and instead point out factual or procedural mistakes. For example, if the VA overlooked a key piece of medical evidence, highlight this omission and explain its significance.
It’s also essential to ensure that your file in the VA’s system is complete and accurate. Known as the “claims folder” or C-File, this record contains all the documents related to your claim. Veterans in 2025 can now request a digital copy of their C-File through the VA’s portal, making it easier to review the contents and confirm that all relevant evidence is included. If you notice missing documentation, such as medical records or service personnel files, contact the VA immediately to have it added.
To further strengthen your HLR request, consider working with a Veterans Service Officer (VSO) or accredited representative. These professionals are experienced in navigating the VA claims process and can help you craft a compelling case. They can also assist with identifying errors in the original decision and ensuring that your HLR submission meets all the required criteria.
Another important consideration is the timeline. Veterans must file an HLR request within one year of receiving the decision letter. Missing this deadline will result in the loss of the opportunity to pursue a Higher-Level Review. To avoid delays, submit your request as soon as possible after receiving the decision.
It’s also worth noting that while the HLR process does not allow for new evidence, you can still reference existing evidence in your file to support your arguments. For instance, if the VA failed to properly weigh a medical opinion from your doctor, you can point this out and request that the reviewer reevaluate its significance.
In 2025, the VA has also introduced new training programs for senior reviewers, ensuring that they are better equipped to handle complex cases. This means that your HLR request is more likely to be reviewed by someone with the expertise to identify errors and make fair decisions.
Finally, be patient but persistent. While the VA aims to complete Higher-Level Reviews more quickly in 2025, the process can still take several months. Use this time to monitor the status of your request through the VA’s online portal and stay in touch with your representative or VSO for updates.
Filing a strong HLR request requires careful preparation, attention to detail, and a clear understanding of the process. By following these steps, you can improve your chances of receiving a favorable outcome and securing the benefits you’ve earned through your service.