Denials & Appeals

The 3 Things Every VA Service-Connection Claim Needs (Where 42,000 Denials Break Down)

If you've been denied "service connection," you've run into the single most common reason veterans lose. We tagged 39,855 Board of Veterans' Appeals decisions. Of the 29,180 we could classify by issue, service connection was in dispute in 23,199 — 79.5%. The good news: direct service connection is just three pieces. Once you know which piece broke, you know exactly what to fix.

46%
of all denials cite "not service-connected"
17%
fail specifically on the medical nexus
12%
fail on the in-service event

The three elements (Shedden / Caluza)

To win direct service connection, the law (Shedden v. Principi, Caluza v. Brown) requires all three:

What would this rating pay you? (2026 rates)

Official 2026 VA monthly compensation, including the 2.8% COLA increase.

per month ·  per year, tax-free

Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.

2026 base rates, all ratings (veteran alone)
RatingMonthly (2026, incl. 2.8% COLA)
10%$180.42
20%$356.66
30%$552.47
40%$795.84
50%$1,132.90
60%$1,435.02
70%$1,808.45
80%$2,102.15
90%$2,362.30
100%$3,938.58
See your full claim picture — free
  1. A current diagnosed disability. Something a doctor has diagnosed now. Pain alone used to fail here — but after Saunders v. Wilkie, functional loss from pain can qualify.
  2. An in-service event, injury, or disease. Something that happened during service — an injury, exposure, illness, or stressor.
  3. A medical nexus linking #1 to #2 — a doctor saying your current condition is "at least as likely as not" related to the in-service event.

Which element actually breaks — by the numbers

Here's where the 23,205 service-connection denials in our dataset fell apart:

Element that failedHow oftenWhat the Board said
No medical nexus30%"No competent evidence linking the condition to service"
No in-service event22%"Service records are silent for any injury or complaint"
No current disability~1%"No current diagnosis of the claimed condition"
General "preponderance against"83%*The catch-all when one of the above is missing

*Most denials cite the broad "not service-connected" finding; the nexus and in-service-event gaps are the specific reasons underneath it.

Key takeaway

The nexus is the most common failure point, and it's the one most within your control — most veterans are denied not because they're wrong, but because no doctor has put the link in writing in the "at least as likely as not" language the VA requires.

How to shore up each element

Pro tip

Read your denial letter's "Reasons for Decision." The VA almost always tells you which element it found missing. Fix that element specifically — adding more evidence for an element you already proved won't change the outcome.

Frequently Asked Questions

What are the three elements of VA service connection?

A current diagnosed disability, an in-service event or injury or disease, and a medical nexus linking the two. All three are required for direct service connection under Shedden v. Principi.

What is the most common reason VA claims are denied?

Service connection. It is the issue in 79.5% of the 29,180 Board decisions we could tag by issue (23,199 of them). Underneath that, the missing piece is usually the medical nexus (30%) or proof of an in-service event (22%).

Do I need a medical record for the in-service event?

Not always. Lay statements from you or people who served with you are competent evidence that an event happened, especially for things like injuries, exposures, or symptoms that wouldn't necessarily be documented.

What is a nexus letter?

A written medical opinion stating your current condition is 'at least as likely as not' related to your service, with a supporting rationale. It's the single most effective way to fix a 'no nexus' denial.

Get Your Free VA Claim Analysis

Upload your records. VetAid finds what you're missing — in hours, not months.

Analyze My Claim Free
Free VetAid tool

Does your rating decision hold up under a real audit?

Upload your decision letter and C&P exams — VetAid's analyzer reads the full file, checks every examiner statement word-for-word against your records, and shows which arguments for a higher rating actually hold. Free, and we never take a cut of your back pay.

Analyze my claim free →