When the VA identifies a private medical opinion provider, disability benefits questionnaire (DBQ) preparer, or "claims coaching" service as potentially fraudulent, it can trigger a review of any decisions that relied on that provider's paperwork. This isn't automatic revocation of your rating, but it can lead to a request for additional evidence, a new C&P exam, or in some cases a proposal to reduce or sever service connection if the VA concludes the original grant was based on unreliable or fabricated evidence.
The key legal tool the VA would use here is 38 CFR 3.105, which governs proposed reductions and severances, including cases involving clear and unmistakable error (CUE) or fraud. If the VA proposes a severance, you have the right to a predetermination hearing and 60 days to respond before any action is taken. Fraud findings against a third party do not automatically mean your claim was fraudulent — each veteran's file is supposed to be evaluated on its own facts, including whether you knowingly participated in coaching versus simply hiring what you believed was a legitimate medical or legal service.
Official 2026 VA monthly compensation, including the 2.8% COLA increase.
Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.
| Rating | Monthly (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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Analyze my claim free →If you used DBQs or nexus letters from a provider now under scrutiny, it is wise to independently obtain your VA claims file (through a Freedom of Information Act request or eBenefits/VA.gov download) and have your medical evidence reviewed by a different, credentialed provider — ideally one who can speak to the accuracy of your diagnosis and nexus opinion independently of the flagged company's language or templates. Strengthening your file with genuine treatment records, buddy statements, and an independent medical opinion can help insulate a legitimate condition from an adverse action even if the original preparer is found to have acted improperly.
If you have any correspondence, DBQs, or nexus letters from a provider named in a federal fraud case, consult a VA-accredited attorney or Veteran Service Officer immediately to review your file before responding to any VA request for information.
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