$500 flat rate per nexus letter from a board-certified physician, any condition. First-time clients also pay a one-time $50 records review; returning clients skip it. Same price for a straightforward tinnitus claim or a multi-condition secondary chain.
Start My $50 Review Most letters delivered within 14 days.Your service treatment records, post-service medical records, and supporting documents are reviewed by a Family Medicine physician with active licensure and a Navy veteran service background.
Every nexus letter is written and signed by a doctoral-level provider — a board-certified physician or a Doctor of Physical Therapy (DPT). When a DPT authors a letter, a board-certified physician (MD/DO) independently reviews, validates, and co-signs it, so every DPT-authored opinion carries two doctoral-level signatures.
Sections covering qualifications, methodology, records reviewed, history, current diagnosis, medical reasoning, opinion, and references. Cited to peer-reviewed literature, not boilerplate.
Your $50 review identifies the strongest causal framing (direct, secondary, or aggravation) by checking your records against 295,756 Board of Veterans' Appeals decisions. We tell you which path has won most often for cases like yours.
If after reviewing the records the physician cannot reach the "at least as likely as not" threshold, you are not charged the $500 letter fee. You still receive a written analysis of why and what would strengthen the case.
No, and the structure is intentional. The pricing is built around a low entry point: a $50 records review to find out if your case is supportable, then $500 for the letter, billed only after it is written. First-time clients pay the $50 once; returning clients are not charged a review fee again.
If your concern is "what if you pay the $50 and we don't write the letter," the answer is: you are not charged the $500 letter fee, and you keep the physician's written analysis of why the case isn't yet supportable. The $50 is for the physician's time on the review itself, regardless of outcome.
| What it costs | Flat Rate Nexus | Most other services |
|---|---|---|
| Total cost (single condition) | $500 per letter | $800 to $1,500+ |
| Cost to learn if your case is viable | $50 (first-time clients) | Often $0 (then full price for the letter regardless) |
| Letter fee if case is not supportable | $0 | Varies; many charge full price |
| Complexity surcharge | None | Common, +$200 to $500 |
| Multiple conditions | one letter per body system | Often discounted bundles, but per-letter cost still higher |
| Turnaround | within 14 days | 2 to 6 weeks typical |
The $50 records review buys real physician time spent reading your records and writing a viability assessment. It's not a deposit, it's not a hold, it's a discrete piece of work. If the physician can support your case, you then pay the $500 letter fee. If not, you're not charged the $500 and you keep a written analysis you can use to plan your next move. First-time clients pay the $50 once; returning clients are not charged a review fee again.
Most letters are completed within 14 days. If we haven't completed your letter within 30 days of the date you've submitted all the records we need, your $50 records review fee is refunded. The $500 letter fee is never charged until the letter is finished and you've seen it.
No. The $500 covers the complete signed letter. There are no rush fees, complexity surcharges, revision charges, or "premium" tiers. If a revision is needed within scope, it's included.
DBQs are not provided. The service is record-review only, no examinations, telephone consultations, or video visits. Nexus letter only, signed by the reviewing physician.
For first-time clients, two charges: $50 at intake (Stripe), then a $500 invoice sent after the physician reviews your records and approves the draft. The letter is delivered upon receipt of the $500 payment. Returning clients pay just the $500. No subscriptions, no auto-renewals.