Understand the service. Then decide.

A nexus letter is a medical opinion explaining whether—and why—a diagnosed condition is related to military service or another service-connected condition. The reasoning and supporting evidence matter. Not every VA claim needs a privately purchased letter.

A VNI physician is responsible for the independent medical opinion. Intake advocates coordinate your documents and communication; they do not make the medical determination. Ask your advocate who will be reviewing your case.

The preliminary physician review assesses the available records, medical viability, complexity, and appropriate scope. It is a separate paid review—not a promise that a nexus letter will be written. The full $395 is credited toward the total opinion fee if you proceed.

After the preliminary review, VNI explains whether an opinion is appropriate, the proposed scope, total fee, and remaining balance. You separately authorize that work before it begins. You do not authorize a full opinion just by requesting a free consultation.

VNI explains the review outcome rather than promising a favorable opinion. The preliminary review fee becomes non-refundable once the review is accepted and physician work begins, subject to your agreement and applicable law. No full opinion fee is automatically added.

No. VA determines eligibility, ratings, and claim outcomes. A physician’s military experience is a point of connection and context—not a guarantee of special evidentiary weight. VNI provides independent medical opinions, not VA claim representation.