The Nation's Leading VA Nexus Solution for Spinal Complaints
Competent VA nexus letters in the United States—streamline your disability claims with precision and dedication at Spine Nexus Group. Spine Nexus Group does not operate as a nexus letter mill. All nexus letters are authored personally, by independently licensed doctorally trained healthcare providers, from initial record review through final medical opinion, and reflect independent clinical judgment.
Clinically Sound Nexus Letters for VA Disability
At Spine Nexus Group, we specialize in crafting detailed nexus letters for VA disability claims. Our dedicated team understands the intricacies of VA documentation and works meticulously to support veterans in their quest for rightful benefits. With a commitment to accuracy and empathy, we strive to make the process as seamless as possible, ensuring that our clients receive the support they deserve.
Nexus Letters for VA Disability
Case Screening
$250
per letter
All cases begin with a required Case Screening, priced at $250. The purpose of screening is to determine whether a spine-related nexus opinion can be medically supported before a full nexus letter is undertaken. Screening includes a preliminary review of relevant medical and service records, an assessment of service-connection plausibility, and identification of major evidentiary gaps or fatal flaws. Each case is either accepted or declined following screening. The screening fee is non-refundable, does not guarantee acceptance, and is credited toward the cost of a nexus letter if the case is accepted.
Thorough Evaluation
Provider Review
Selective Acceptance
Popular
Comprehensive Nexus Letter
$750
per letter
If a case is accepted, a Comprehensive Spine Nexus Letter is offered at a flat fee of $750 per spinal region. This fee includes full medical record review, clinical analysis, consideration of accepted medical literature where appropriate, and preparation of a formal written medical nexus opinion using VA-standard language such as “at least as likely as not.” Each nexus letter addresses a single spinal region, including the cervical, thoracic, lumbar, or lumbosacral spine. Multiple diagnoses affecting the same spinal region, such as degenerative disc disease, radiculopathy, or spinal stenosis, are typically addressed within a single nexus letter when medically appropriate.
In cases involving multiple spinal regions, each region generally requires a separate nexus letter due to differences in anatomy, biomechanics, and service-connection analysis. Each additional spinal region is priced at $750, with the final determination made during the case screening process.
Thorough Review
Detailed Analysis
Provider Insight
Addendum Opinion
$250
per letter
A Supplemental or Addendum Opinion is available for $250 and is offered only after completion of an initial nexus letter. Supplemental opinions are limited in scope and may include clarification requested by the VA, response to a VA examiner’s opinion, or additional rationale in support of an appeal. Standalone addendum opinions are not offered without an existing nexus letter authored by Spine Nexus Group.
Expert Review
Detailed Analysis
Medical Reasoning
Standards of Practice
Spine Nexus Group does not offer guaranteed outcomes, expedited or rush services, discounted or bundled pricing, per-diagnosis pricing, unlimited revisions, or nexus letters for non-spinal conditions. Cases that cannot be medically supported are declined in order to maintain medical integrity and defensibility. Spine Nexus Group accepts a limited number of cases and prioritizes medical rigor, defensible reasoning, and ethical standards over volume.
Reach Out for Assistance
Contact Spine Nexus Group for excellent nexus letter assistance with VA disability claims.