25K Veterans Served
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Woman + Veteran-Founded
Trusted by veterans, VSOs, VA disability law firms, and veteran education organizations.
SOUND FAMILIAR?
When a Nexus Letter isn't the whole answer, and your case has:
INCOMPLETE MEDICAL EVIDENCE
A BAD C&P EXAM CONTROLLING THE NARRATIVE
A TREATMENT GAP OR WEAK LONGITUDINAL DOCUMENTATION
A MEDICALLY COMPLEX CASE
... Or you know something is missing but you don’t have a medical resource that can develop it – this is where MRPY comes in.

MRPY IS MORE THAN A NEXUS LETTER™
The medical support behind your client's next step.
WHEN THE RECORD NEEDS MORE
Medical Evidence Development
A resource for the work between identifying a gap and obtaining the evidence. MRPY can coordinate appropriate evaluations, testing, specialist visits, and supporting records within an agreed scope. Three service levels provide a structured coordination process tailored to the case. Services may include evidence-gap planning, scheduling support, coordination with independent facilities, assistance obtaining completed reports and provider review of results. An appropriate medical visit may be included when needed within the agreed scope. MRPY determines the development level. Outside facility charges are generally separate. Later Nexus Letters and DBQs are separately billed when medically supported; development does not guarantee a favorable opinion.
Free Qualifying Rebuttals
We offer support beyond delivery when an MRPY opinion is challenged by the VA.
Care Where Your Clients Are
Telemedicine and select in-person options are available depending on the exam needed.

The MRPY Gold Standard Nexus Letterâ„¢
DESIGNED AROUND YOUR CLIENT RELATIONSHIP
Your team stays the point of trust.
Your client, your relationship.
You'll remain the trusted point of contact for your client.
Our expertise, their medical evidence.
MRPY reviews + develops evidence within the agreed service scope.
START WITH A CONVERSATION
One case is enough to begin.
Discuss the medical evidence problem, your client's medical needs and the support your team is looking for. This conversation helps clarify whether MRPY is a fit and appropriate next steps.
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We're here to answer questions about scope, communication, your organization's service arrangements, and more.


