Nexus letters written and signed by board-certified physicians.
The verdict is free. A physician licensed in your state reads your file and tells you in writing whether it supports a letter. If it does, the letter is $499 flat, written on the physician's own letterhead — and nothing is charged until you've read it and released it.
Verdict by the next business day · Signed letter within 48 hours of your order · No account until you upload records
Where is your claim right now?
Upload your decision letter
Start your file
Start your file
Upload the C&P report
Four steps. You decide at step four — and only then.
Six questions about the claim
The condition, how you believe it connects to service, where the claim stands, whether a C&P examiner has weighed in, and any deadline.
- Takes about three minutes
- Nothing is stored until you create an account at the next step
- Not sure of the theory? Pick "not sure" — that's what the review is for
Your rating decision and records
Upload the denial letter, service treatment records, your VA Blue Button export and any C&P exam. PDFs or phone photos.
- Records are malware-scanned and encrypted on arrival
- Visible only to you and the reviewing physician
- Missing something? Submit anyway — the verdict will tell you what to get
Your physician reads the file and writes back
A board-certified physician licensed in your state reads the rating decision first, then the records, and tells you in writing which of the three elements the VA found missing and whether a letter can address it.
- "Yes" comes with a summary of what the physician would write
- "No" comes with exactly what's missing and how to obtain it
- Either way, no charge and the written verdict is yours
Order it, read the preview, release it
If the records support an opinion, order the letter. Your card is authorized — not charged. When the draft is done you see the opinion and the records cited; the full letter and signature are released, and the card charged, only when you approve.
- Your preview is ready within 48 hours of ordering
- Do nothing and the hold simply expires
- The signed PDF is on the physician's own letterhead, with their license number and CV attached
- You give it to your VSO or representative; we never file it
A nexus letter fixes one of three things. Which one is missing from yours?
Every service-connection claim needs three legs. A physician letter supplies the third. It cannot invent the first two. Tap what your file has — it is the first question our physicians ask on every file.
Seven parts. Tap one to see it in a real letter.
The court that reviews VA decisions gives weight to an opinion when the author knew the facts, the facts were accurate, and the reasoning is explained. Every letter is built to that test.
Why the rater cares
The VA weighs who is speaking. Board certification, active practice and a visible fee arrangement all go to credibility. Letters that hide the author's credentials, or come from a provider paid by a claims company, start behind.
Why the rater cares
An opinion is only as good as the facts under it. Listing every document tells the rater the author saw the service records and the prior exam, not a summary someone else prepared.
Why the rater cares
A letter cannot create a diagnosis. If the only record says "probable," the honest verdict is to get the test first. That is a "no" at step three — free.
Why the rater cares
This is the sentence the whole letter exists to support. It uses the VA's own standard, names the theory — direct, secondary or aggravation — and cites the regulation. Hedged language ("may be related," "consistent with") loses.
Why the rater cares
Mechanism, then the veteran's own timeline, then peer-reviewed literature. A conclusion without this paragraph is routinely given little weight; this paragraph is where a letter is won or lost.
Why the rater cares
A negative C&P opinion sits in the file until something answers it. Pointing out, specifically, what the examiner did not consider is how a private opinion is given equal or greater weight.
Why the rater cares
A normal separation exam or a gap in care is in the file whether or not the letter mentions it. Explaining it is stronger than hoping the rater doesn't notice — and raters notice.
What's different, in one table.
| Feature | Typical online nexus services | ClearDiagnosis |
|---|---|---|
| Fee to find out if a letter can help | $199–$500 "records review" fee, non-refundable | $0 — the verdict is free |
| Who signs the letter | Often a nurse practitioner or physician assistant | A board-certified physician (MD/DO), named on the letter |
| Time to letter | Two to ten weeks | Verdict next business day · signed letter within 48 hours |
| If the opinion can't be supported | Review fee kept; refund terms vary | Nothing charged — card is held, not captured |
| Before you pay | Pay first, read later | Preview the opinion and citations, then release |
| Whose letterhead | Often the company's, with the clinician named inside | The physician's own letterhead, license number and CV |
| Relationship to claims consultants | Many are "preferred providers" for a coaching company | None. No referral fees, no networks |
Typical-service figures reflect published prices and turnaround times of major online nexus letter providers as of October 2026. Terms vary by company.
Board-certified physicians. Licensed in your state. Matched to your condition.
Every file is assigned to a physician holding an active license in the veteran's state and board certification relevant to the condition — not a nurse screener, not a template. The physician reads the complete record personally and signs the letter under their own name and license number, on their own letterhead. ClearDiagnosis is the platform — secure intake, records, payment and quality review. The opinion belongs to the physician.
- Independent of ClearDiagnosis. Our physicians are independent, board-certified practitioners — not employees. They are paid a fixed fee per review, never a share of any award, and exercise their own clinical judgment. If a physician will not sign, no one at ClearDiagnosis can make them.
- Medical Director review. Every letter is checked against the seven-part standard before it is released to you.
- Specialty matching. Orthopedic, sleep, cardiopulmonary and gastrointestinal conditions go to physicians with the relevant clinical background.
William Linklater, MD
Board-certified emergency physician, ten years in active practice, licensed in seventeen states. Sets the review standard and signs off on every letter.
I watched veterans pay to be screened and then wait six weeks. The verdict should be free and the medicine should be the physician's own.
One fee. Published. In writing.
- Written verdict before you decidefree
- Physician review of the complete recordincluded
- Signed letter on the physician's own letterhead, literature-citedincluded
- Response to a negative C&P opinionincluded
- Records gap memo for your representativeincluded
- Additional condition, same records$249
Your card is authorized when you order and charged only when you release the signed letter.
The opinion, the records cited and the structure are shown first. Release it, or let the hold expire.
We stand behind the medicine. We make no promise about any rating outcome — no one honestly can.
We are not a claims company.
Federal law reserves the preparation and prosecution of VA claims to accredited representatives. We provide independent medical evidence, and nothing else.
The fee is fixed before any work begins and does not change with your rating or award.
We never log in on your behalf, complete a form, or advise which conditions to claim.
No referral fees. Veterans come directly or through their accredited attorney.
Plain answers.
Why is the verdict free?
Reading your decision and records to decide whether a letter can help is a short job, and a letter written where the evidence is thin would be discounted and waste your money. Veterans who get an honest "no" tell other veterans. That's the model.
Who actually reads my records?
A board-certified physician licensed in your state and matched to your condition — personally, every page. There is no intake staff and no software screening. Questions during review come to you through the secure message thread in your file. Every letter is also reviewed by our Medical Director before release.
Whose name is on the letter — the doctor's or ClearDiagnosis's?
The doctor's. Each letter is issued on the reviewing physician's own letterhead, signed under their name, board certification and state license number, with their CV attached. Our physicians are independent practitioners, not employees of ClearDiagnosis; the platform handles secure intake, records, payment and quality review, and the medical opinion is entirely the physician's. That independence is what gives the letter weight.
What if the opinion can't be supported?
You get a written explanation of what's missing and how to obtain it. No charge. Close the gap, and you can reopen the file at no additional cost.
Do you help me file?
No, by design. Federal law reserves claims assistance to VA-accredited representatives, and we are not one. For the claim itself, use an accredited VSO, agent or attorney.
Can you write mental-health nexus letters?
Only when a psychiatrist is available for your file — the VA weighs the author's specialty, and psychiatric opinions carry the most weight from a psychiatrist or doctoral psychologist. Our physicians routinely write opinions on medical conditions secondary to a service-connected psychiatric condition, such as sleep apnea, hypertension or GERD secondary to PTSD or its treatment.
How long does it take?
Verdict by the next business day after upload. If you order, your preview is ready within 48 hours. Tell us your deadline in the intake and your physician will say plainly whether it can be met.
Find out, in writing, whether your records support a letter.
Six questions, your records, a physician's verdict by the next business day. Nothing to pay unless a letter is written — and nothing charged until you've read it.
Start your fileReturning veteran? Log in to your file.