Questions from firms
Before you send the file.
If your question is not here, call us. Scope questions are free and we would rather answer them up front.
8 answers
What does it cost?+
Every VAMO service is a flat $850, with no hidden fees and no tiers. One fee covers up to three Independent Medical Opinions. If we review the records and cannot prepare what you need, there is no charge.
Do you communicate with the client, or only the firm?+
We can work firm-only or include the client, based on your preference. Many firms route communication through counsel for consistency and documentation control. We follow the scope you set and stay in the medical evidence lane.
What happens if VA disputes your opinion?+
If VA requests a contract medical opinion to negate or dispute our report, our clinical and research team prepares a formal rebuttal addendum responding directly to their examiner. The rebuttal addendum is free.
Does the VA accept private IMOs?+
Yes. VA considers competent medical evidence from qualified clinicians, including private medical opinions. A private opinion should not be discounted just because the clinician did not review the entire claims file. What matters most is the reasoning, the supporting facts, and how well it connects the medical evidence to the conclusion.
What makes an opinion persuasive under review?+
A strong opinion stays tightly record-based and clinically explained: a qualified clinician with the relevant specialty, a clear conclusion stated plainly, specific citations to treatment notes and testing, a reasoned explanation connecting facts to conclusion, and alternative causes addressed where medically relevant. When an opinion is missing a real rationale, VA can treat it as insufficient.
What records do you need to start?+
We typically need the most relevant service and treatment records for the claimed conditions, prior exam reports if available, and any prior private opinions already in the file. If something important is missing, we tell you before we start.
Do you need an in-person exam to produce an opinion?+
Not always. Many opinions can be completed from a thorough record review when the file contains current findings and objective support. If the record lacks necessary clinical detail, an exam or updated testing may be needed for a medically defensible conclusion. VA can also schedule an examination when the evidence is not adequate for rating purposes.
How do we send documentation?+
Records are submitted through a HIPAA compliant process confirmed at intake. We will tell you exactly what we need and what is missing before work begins.
Send us the file.
We will confirm scope, deadline, and deliverables in writing before any work begins. Flat fee of $850. No contracts.
VA Claim SupportIndependent Medical OpinionsMental Disorders DBQTDIU Vocational AssessmentsAid & Attendance AssessmentsSSDI Vocational Assessments