The delays you're experiencing, particularly with a private contractor's follow-up request for an x-ray, are a common but addressable bottleneck in the evidence-gathering phase of your claim; your claim remains in the "evidence gathering, review, and decision" phase (38 CFR 3.159) pending this development. While the average processing time is approximately 138 days, delays from third-party contractors like Optum Serve do not pause the VA's duty to assist (38 CFR 3.159(c)), but they can extend your wait. Your immediate actionable step is to document this delay: call the VA's White House Hotline (855-948-2311) and submit a written statement via VA Form 21-4138 through QuickSubmit, detailing the exam date, the x-ray request, your follow-up calls, and the lack of response, as this creates a record that may compel the VA to follow up with the contractor or, per *DeLuca v. Brown*, potentially decide the claim based on current evidence if the delay becomes unreasonable. Simultaneously, you can proactively obtain the x-ray yourself if feasible—any diagnostic test confirming or ruling out the condition can be submitted directly to the VA, potentially moving the claim forward. Monitor your claim status via VA.gov and be prepared for a possible rating decision once this evidence is received; if denied or underrated, you would then appeal, citing this delay in developing evidence. **Disclaimer: This is educational information regarding VA claims processes and is not intended as legal or medical advice.**
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