We call our Nexus Letters the Mother of All Nexus Letters for a reason- we’ve cracked the code on maximizing probative weight. That is, for those of you unable to obtain a Nexus Letter from your treating physician.

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That right there- a Nexus Letter from your treating physician- is the motherlode of probative weight. Sadly, most treating physicians will not provide you with a Nexus Letter. We discovered this the hard way, and everything we see and hear “out there” confirms that our experiences are not unique.

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Theories vary as to why this is the case- physicians may be unduly concerned about being dragged in front of BVA judges to be deposed; the corporate network they work for may not allow their stable of doctors to provide Nexus Letters; maybe it comes down to their not having a way to bill you for that service.

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Whatever the case, if you can get your treating physician to write you a Nexus Letter, you’ve struck gold. Look no further. If not, look no further than this website.

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After being authored by your treating physician, the credentials of the author are the biggest determinant of the probative weight of a Nexus Letter. You want a Medical Doctor or Surgeon who specializes in the field that your claim falls under.

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You don’t want a Nurse Practitioner. You don’t want a Physician’s Assistant. You don’t want a Chiropractor.

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Similarly, you don’t want a Pulmonologist writing a Nexus Letter for your Post Traumatic Osteoarthritis. You don’t want a Radiologist writing a Nexus Letter for your Plantar Fasciitis.

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With respect to our competitors, most of them cannot offer this difference- the 2Paratroopers difference. Many will pipe up and will be quick to point out that title 38 of the CFR (code of federal regulations, the rulebook that applies to the VA) does allow for any practitioner that is licensed to practice medicine in the US to submit a Nexus Letter for consideration.

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And they’re right- any of them can. There’s a very big BUT however. According to the M21-1, Part 3, Subpart IV, Chapter 5, Section 2E, “Determining the Probative Value of Evidence”:

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“Consider the key elements listed below when evaluating the probative value and relative weight of medical evidence such as a diagnosis/assessment, prognosis, or opinion on etiology/onset:

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1) physician’s qualifications

2) expertise/specialty, and

3) experience”

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That’s the 2Paratroopers difference. If we provide a Nexus Letter, it’s been authored by an MD who specializes in the field under which your claim falls.

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That’s why we currently write Independent Medical Opinions and Evaluations for musculoskeletal claims only. We are well represented in the Orthopedic and Podiatric worlds, and we have Doctors of Physical Therapy writing our Evaluations (DBQs).

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Because we care enough to send only the very best. The Mother of All Nexus Letters.