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It is my experience that many times–maybe even most–when VA sends a release a private provider, the provider ignores the request.
For example, if you got the flu in service and got over it, the claim will be denied.
If you don’t and you have no more information, we will wait for 30 days before proceeding for no good reason. It will have attached to it the text of the actual rating decision explaining why we decided what we did.