The rating is decided on the rationale, not on the conclusion.
Nexus letter record review services give the opinion writer a cited service-connection timeline: the in-service event or exposure, the continuity of symptoms after discharge, and the post-service diagnosis, each linked to its page in the C-file. The opinion and its rationale stay with the clinician.
VA tells raters exactly what makes a private opinion adequate.
We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. For nexus opinions the standard is published in the regulations and the adjudication manual, and the referee is the rater who applies it.
3 steps between the C-file and the timeline.
Send the C-file
Service treatment records, the claims file, VA and private treatment records, and any prior C&P examination reports, in any format.
We return the timeline, page-cited
The in-service event or exposure, every documented symptom contact from discharge forward, the diagnosis and its date, and the evidence that cuts the other way.
The clinician writes the opinion
The likelihood statement and the rationale behind it are the clinician’s, made on their own judgment. The timeline is what shows the file was actually reviewed.
A timeline of the file, not a nexus opinion.
We assemble and cite the record the opinion will rest on. We do not state that a condition is at least as likely as not related to service, write the rationale, or sign anything. A nexus opinion is a medical opinion, made and signed by a qualified clinician.
In the demo case, page 140 turned out to belong to a different patient. In a C-file that error puts another veteran’s finding into a service-connection argument, so it is quarantined rather than folded quietly into the history.
The rules the platform never breaks.
HIPAA, under a signed BAA
Every file is handled under our Business Associate Agreement, from the first byte.
Never trains a model
Your records are never used to train any AI model — ours or anyone else's.
Every line cited
If we can't cite it, we don't say it. Every sentence links to its source page.
Deleted after delivery
Files are deleted 30 days after delivery, with a full audit log of every access.
7 capabilities behind every service-connection timeline.
The service-connection timeline is one deliverable of the same platform that reads, sorts, and cites the whole record.
Medical Records OCR
Every page read in full, including the service treatment records where the in-service entry usually sits.
Medical Chronology
The timeline assembles itself from dates across service and civilian care, so continuity reads as a sequence rather than as a claim.
Verifiable AI Citations
Every entry links back to its page, including the ones the rater will use against the claim.
Medical Summary Reports
It exports into the clinician’s opinion letter in their format.
Medical Record Deduplication
Forty charts pulled from multiple practices and EHR migrations carry their share of duplicate visit notes. Each is matched and collapsed to one canonical record, so the prescribing pattern is read once per real encounter.
Missing Records Identification
A prescribing pattern read across 40 charts is only as sound as the file behind it. When a chart references a visit, refill, or referral that never made it into the production, the gap is flagged before the pattern goes to the board.
Cross-Exam Simulator (beta)
A board investigator or defense counsel builds a case from the chart abstraction. This beta tool maps the questioning a physician facing that hearing is likely to face on the gaps and pattern in their own record. A rehearsal tool, not legal advice.
Nexus letter record review, answered.
Send one file. We'll tell you what we can read.
No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.