Denials & Appeals

The 3 Things Every VA Service-Connection Claim Needs (and Which One Breaks Yours)

If you've been denied "service connection," you're dealing with the most common issue at the Board: service connection is the benefit at issue in 2,302,001 of the 4,365,380 issues the Board of Veterans' Appeals decided from 1992 to July 2026 (Board outcome rates). The good news: direct service connection is just three pieces. Once you know which piece broke, you know exactly what to fix.

18.8%
of service-connection issues granted at the Board (432,764 of 2,302,001)
45.7%
remanded for more development
30.2%
denied

Board of Veterans' Appeals issues decided 1992 to July 2026, measured by VetAid from the public decision archive. Source: Board outcome rates by benefit type.

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
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The three elements (Shedden / Caluza)

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

  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 breaks — and what the numbers do show

VetAid hasn't measured how often each element is the reason a claim fails. It has measured how much a nexus opinion matters: across single-issue Board decisions from 1992–2024, the issue was granted 60% of the time when a medical source gave a positive nexus opinion (23,725 of 39,858 decided on the merits), versus 33% without one (152,615 of 466,524). Source: What evidence wins at the Board.

Key takeaway

The nexus is the element most within your control — many 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 is the most common benefit at issue in Board appeals: 2,302,001 of the 4,365,380 issues the Board decided from 1992 to July 2026 (VetAid's Board outcome rates). The denial will name which of the three elements was missing: a current disability, an in-service event, or the medical nexus.

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.

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