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Not looking good

Well the road has come to an end i believe. My claim shows on ebenefits as of this afternoon that the claim is closed. No updated AB8 and no change on benefit explorer. Very disappointed. Claim for...

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Re: Not looking good

ANYTHING that you think they missed, send it in with a Request For Reconsideration. If there was a big error on their part they can fix it. If you have no new evidence, file an NOD. (JMO)

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Re: Not looking good

What is reconsideration and how does all this work? Sent from my DROID RAZR using Yuku app

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Re: Not looking good

DB: If you want, PM me the details of the tooth loss and TMJ claims.  As someone who does dental C&P exams for living, I can give you a pretty decent idea of why those claims may have been denied.

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Re: Not looking good

Texasyank, I tried sending pm but kept getting error message that no user was found. Here ia what i sent. I havent received the packet yet but here is the short story...i have ground down my teeth to...

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Re: Not looking good

DB:The teeth damage is not compensable.  If you granted TMJ at 10% or  more,  you'll be eligible for the reconstruction of your mouth. The observation about not seeking are is irrelevant.Since you...

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Re: Not looking good

Thank you texasyank. Couple questions. One: what does it mean they cant be combined? Does that mean its either the lateral or the other? And why would you say the toothloss is non compensable? Just...

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Re: Not looking good

Sorry...one more question...it certainly could be that my % hasnt gone up because my current 30 and ten ratings and a new ten would still equal the 40 percent i am currently receiving. Would they...

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Re: Not looking good

The effective date on a AB8 is ALWAYS the day you look at it.

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Re: Not looking good

Thanks street. Mine says todays date but effective december 1, which was the last cost of living increase. So i dont know. By the way...i really hope you keep your claim going and dont give up. Sent...

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Re: Not looking good

It will show todays date and the date of the last COLA unless you've recently been rated and it changed things.

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Re: Not looking good

DBThat's right, you can't add a 10% lateral excursion rating with a 10% rating for limited opening. The Code of Federal Regulations specifically exclude teeth from being rated as disabling for...

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Re: Not looking good

I filed the claim under "loss of all posterior teeth, upper and lower....20" because i was under the impression that 20,meant compensation and that it is pretty easy to show the tooth loss is...

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Re: Not looking good

9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity: Where the lost masticatory surface cannot be restored by suitable prosthesis: Loss of all teeth...

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Re: Not looking good

I see. That explains it then. When reading through the ratings guides i didnt realize the lines went together. I thought the loss of teeth was separate. Thank you for clearing that up. Now i wait for...

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