This process involves: 1) Reviewing all service treatment records, personnel records (if relevant), post-service medical documentation, and supporting lay evidence. 2) Identifying continuity of symptomatology or medically plausible pathways between service events and current diagnoses. 3) Assessing diagnostic consistency and noting any gaps, omissions, or contradictions that could weaken a claim. 4) Applying clinical reasoning and medical literature to support or refute causation or aggravation. 5) Preparing a structured summary that guides the medical opinion (nexus letter) with VA-appropriate phrasing. The difference between a routine chart review and a professional medical evaluation is the level of depth and accountability. Many commercial “Nexus Letter” providers conduct superficial reviews — often scanning only recent records, skipping relevant specialty notes, or relying on generic phrasing that fails to meet the evidentiary threshold required by VA adjudicators. These shortcuts can lead to denials or the need for costly revisions. At MRPY Professional Services, our medical evidence assessments follow a clinical-grade process that mirrors the standards used in peer review and medical legal documentation. Every case is reviewed by a licensed provider experienced in both military health and civilian practice. We take time to: 1) Verify diagnostic accuracy and consistency with service exposure or injury history. 2) Identify secondary conditions or aggravations that may strengthen the claim. 3) Anticipate potential VA objections and address them preemptively in the medical rationale. 4) Ensure the final opinion aligns with both medical ethics and VA regulatory language. This level of diligence takes time — and it’s why our medical evidence assessment pricing reflects the true medical value of the service. It’s not a quick template or copy-paste job; it’s a professional medical analysis that supports your claim with accuracy, integrity, and evidence. When you invest in an MRPY chart review, you’re not just buying a document — you’re securing the medical credibility your VA claim deserves. This premium package includes unlimited rebuttals, top priority processing, a 30 minute medical review call with a licensed provider, and full access to our Veteran Resource Portal for ongoing education and medical claim support. Perfect for: •Multi-system or complex medical conditions. •Previously denied or appealed claims. •Claims requiring in-depth analysis and literature-supported rationale.