Frequently Asked Questions
General question
What is a Nexus Letter?
A Nexus Letter is a medical document written by a qualified healthcare professional that provides a detailed, evidence-based opinion connecting a veteran's current medical condition to their military service or to an existing service-connected condition. It typically includes a review of medical and service records, references to relevant medical research, and a clinical rationale supporting the likelihood of a service connection.
What's included in a Mental Health Evaluation?
A Medical Records Review, a nexus letter linking your diagnosis to your military service, a completed DBQ documenting your functional limitations, and a formal mental health diagnosis if clinically warranted.
What is a Rebuttal Letter?
A Rebuttal Letter is a targeted medical response addressing factual or medical inaccuracies in a VA rating or decision, giving you evidence-backed rationale to support a stronger appeal.
Who reviews my case?
Telemedica reviews your request and assigns your case to a licensed provider, who prepares the Rebuttal Letter on your behalf.
Does Telemedica only serve veterans?
Yes, currently Telemedica's services are currently focused on supporting U.S. military veterans, particularly in navigating the VA disability claims process. Serving veterans is at the heart of our mission, and as we grow, we hope to expand our support to include their families as well.
Does Telemedica assist with or provide advice or coaching on the VA claims process?
No, we do not assist with filing VA claims or offer legal advice regarding the claims process. Our role is to connect veterans with qualified providers who can offer independent medical evaluations and documentation to support VA disability compensation claims.
Records and documents
Do I need a Medical Records Review first?
Yes — a Medical Records Review must be completed before a Nexus Letter can be purchased, so your provider has the full clinical picture needed to support the service connection.
Do I need a Medical Records Review before I can purchase a DBQ?
Yes. A completed Medical Records Review confirms your eligibility and ensures your provider has accurate, up-to-date records before completing your DBQ.
Do I need a Medical Records Review before other services?
Yes — the Medical Records Review must be completed before booking any other medical evidence service, so your provider has the full clinical picture of your history.
What's included?
Both a MedSummary — a clear summary of your records, conditions, and history — and a Provider Review that identifies which conditions can be supported and what additional evidence you may need.
VA.gov sign-in and your data
Is Telemedica part of the VA?
No. Telemedica is a private company. It is not part of, affiliated with, endorsed by or sponsored by the U.S. Department of Veterans Affairs or any government agency, and it is not an accredited claims agent, attorney or Veterans Service Organization. We arrange independent medical evaluations and medical evidence; you decide what to file with VA.
Read the full answerWhat happens when I sign in with VA.gov?
Connecting your VA.gov account is optional, and every service works without it. If you choose to connect, you sign in on VA's own pages (through Login.gov or ID.me) and VA asks which categories of information to share with Telemedica: your verified service history, your disability rating and claim status, and, only if you authorise it, your VA health records.
We retrieve only the categories you approve and place them in your Telemedica file, so you do not have to find and upload records by hand. Your provider reads them to prepare your evaluation and your evidence. Section 4 of our Privacy Policy (telemedica.com/privacy-policy) describes the connection in full.
Read the full answerWhat does Telemedica do with information from VA, and does it ever sell it?
We use it only to prepare the evaluation and the documents you asked for, to confirm eligibility for a service and to pre-fill your forms. We never sell it, never use it for advertising, never share it with anyone other than your provider and the vendors that process it for us under contract, and never send anything to VA on your behalf unless you ask us to in writing.
Read the full answerHow do I disconnect VA.gov or stop sharing my records?
At any time, in your portal account settings or at VA.gov (Profile, then Connected apps). Disconnecting takes effect immediately: we can retrieve nothing further, and the access VA gave us is deleted.
Information already in your file stays so that your provider's work remains complete. Ask us to delete it and we will, except for the parts of a medical record a provider has already relied on, which the law requires us to keep for its retention period.
Read the full answerHow do I delete my account and my information?
From your portal account settings, or by emailing customerservice@telemedica.com from the address on your account. We confirm it is you, then within 30 days we delete or permanently de-identify everything that is not subject to a legal retention duty (medical records and payment records have one), disconnect VA.gov if it is connected, and tell you what we kept, why and for how long.
Read the full answerHow is my health information protected?
Your health information is protected health information under HIPAA. Every connection is encrypted, your records are encrypted at rest in Microsoft Azure data centres in the United States, each member of staff and each provider can see only the records their work reaches, and every time someone opens, downloads or changes a record in your file it is written to an audit log.
Our Notice of Privacy Practices (telemedica.com/hipaa-notice) describes your HIPAA rights, our Privacy Policy (telemedica.com/privacy-policy) describes everything we collect and share, and our Terms of Service (telemedica.com/terms-and-conditions) set out the agreement between us. All three are linked from every page and from the portal.
Read the full answerHave a Question Not Answered Above?
Our team is here to assist you if you have additional questions. Call our customer support team now for assistance