Pricing & Payment Clarity
Transparent Pricing for Physician Review and Nexus Medical Opinions
Know the Cost. Understand the Work. Never Pay for a Promised Outcome.
Begin with a free consultation, proceed to an independent physician record review only when appropriate, and purchase a comprehensive nexus medical opinion only when the available evidence can responsibly support one.
Veterans Nexus Institute uses a staged review process designed to protect veterans from paying for a comprehensive medical opinion before a physician has examined the available evidence.
Your initial consultation is always free. During this conversation, you may explain the condition at issue, your military service history, the status of your claim, and the medical or service records you believe may be relevant. The consultation helps VNI determine whether a formal physician record review may be an appropriate next step. It is not a medical examination, a formal medical opinion, or a guarantee that VNI will accept the matter.
When physician review appears appropriate, you may proceed with a comprehensive medical record review for $495. This fee compensates a licensed physician for the professional time required to examine the submitted service and medical documentation, reconstruct the relevant medical chronology, evaluate the proposed relationship, identify evidentiary strengths and weaknesses, consider alternative explanations, and conduct medically appropriate research.
The $495 physician review fee is non-refundable once the review has been accepted and substantive work has begun. The value of this service is the physician’s analysis itself. That professional work is performed whether the physician ultimately recommends proceeding with a nexus opinion, pausing while additional evidence is obtained, or advising against purchasing a nexus letter.
The $495 payment is not payment for a nexus letter and does not purchase a favorable medical conclusion.
After the physician review, VNI will communicate one of three responsible recommendations:
1. Proceed with a comprehensive nexus medical opinion because the available evidence may support a medically defensible conclusion.
2. Pause while specific missing records or information are identified and, when possible, obtained.
3. Do not proceed because the available evidence does not support the proposed relationship or would require the physician to speculate.
When the evidence does not support the requested medical connection, VNI will strongly advise against purchasing a nexus letter. A physician cannot ethically author an opinion establishing a relationship that the records, chronology, and medical evidence do not support.
When the evidence supports proceeding, VNI may offer a comprehensive nexus medical opinion for a total fee of $3,000. The initial $495 physician review fee is credited toward that total, leaving a remaining balance of $2,505.
The comprehensive fee compensates the physician for the approved opinion scope, which may include extensive review of service and post-service medical records, analysis of diagnostic testing and treatment history, consideration of direct, secondary, or aggravation theories, review of competing causes, consultation of relevant medical literature, and preparation of a detailed signed medical rationale.
A nexus medical opinion is often far more substantial than a single-page letter. Depending on the complexity of the medical history and the amount of relevant evidence, a report may extend to dozens of pages. VNI does not sell a particular page count. The appropriate length is determined by the medical question, the evidence, and the amount of explanation required to address all material facts responsibly.
Cases are assigned to licensed physicians whose training and experience are appropriate for the medical question being evaluated. Members of the VNI physician team may also bring current Reserve service, retired military service, operational experience, or combat experience. Military experience may provide valuable context, but every conclusion must remain grounded in the individual veteran’s records, relevant medical knowledge, and the physician’s independent professional judgment.
Payment does not guarantee that the physician will reach a favorable conclusion. It also does not guarantee that the Department of Veterans Affairs will grant a claim, assign a particular disability percentage, establish a specific effective date, or award back pay. VA evaluates the complete record and makes the final benefits determination.
VNI does not receive a percentage of a veteran’s benefits. Our fees compensate physicians for professional medical work, not for the size or outcome of a VA award.
The signed service agreement and published Terms govern each engagement, including the exact scope of work, the point at which professional fees become earned and non-refundable, cancellation procedures, factual corrections, additional records, expanded conditions, addenda, and any exceptions required by applicable law.
Our promise is simple: you will know what you are paying for before the work begins, and you will never be asked to purchase a medical conclusion that the evidence cannot responsibly support.
1. FREE INITIAL CONSULTATION
Explain your history, condition, and available evidence.
Cost: $0
2. PHYSICIAN MEDICAL RECORD REVIEW
A licensed physician reviews the submitted records and evaluates whether a medically supportable opinion may be appropriate.
Cost: $495
Non-refundable once accepted and substantive work begins.
3. CLINICAL RECOMMENDATION
Proceed, pause for identified evidence, or do not proceed.
Cost: Included with the physician review.
4. COMPREHENSIVE NEXUS MEDICAL OPINION
Offered only when the reviewed evidence supports proceeding.
Total cost: $3,000
Less the $495 review credit
Remaining balance: $2,505
You are paying for physician time, independent judgment, and accountable medical analysis. You are never paying for a guaranteed answer.
