$549 flat rate per nexus letter from a board-certified physician, any condition: a $149 refundable deposit at intake and $400 at invoicing. Same price for a straightforward tinnitus claim or a multi-condition secondary chain.
Start My Case 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 case 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 $400 letter fee and your $149 deposit is refunded in full. 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 refundable entry point: a $149 deposit to find out if your case is supportable, refunded in full if we cannot support it, then $400 for the letter, billed only after it is written. Clients pay the deposit once; returning clients are not charged a review fee again.
If your concern is "what if you pay the $149 and we don't write the letter," the answer is: you are not charged the $400 letter fee, your $149 deposit is refunded in full, and you keep the physician's written analysis of why the case isn't yet supportable. The $149 deposit is refunded in full if we cannot support your case.
| What it costs | Flat Rate Nexus | Most other services |
|---|---|---|
| Total cost (single condition) | $549 per letter | $800 to $1,500+ |
| Cost to learn if your case is viable | $149 (refundable deposit) | 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 $149 deposit 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 $400 letter fee. If not, you're not charged it and your $149 deposit is refunded in full, and you keep a written analysis you can use to plan your next move. Every client pays the same $149 deposit, refunded in full if we cannot support the case.
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 $149 deposit is refunded. The $400 letter fee is never charged until the letter is finished and you've seen it.
A nexus letter is a dense document. A typical letter of ours contains more than 100 individual facts — dates, providers, unit assignments, test results, and specific findings, every one of them drawn from your own records. We work to get all of them right and we check them before the letter goes out. If we still get one wrong, tell us and we will correct it at no charge, for as many rounds as it takes.
Beyond factual corrections, you also get one round of reasonable edits based on your feedback once you have the final letter — if we developed a point too lightly, gave weight to something minor, or should speak more directly to a prior denial. Please wait for the final letter and send everything in one message: every corrected letter goes back to the signing physician for review and a new signature, so each pass takes real time and each extra pass is another chance for a new error.
What we don't change is the medical opinion itself. That has to stay the physician's independent judgment, and an opinion that reads as written‑to‑order carries less weight with a rater, not more.
No. The $549 covers the complete signed letter. There are no rush fees, complexity surcharges, revision charges, or "premium" tiers. Factual corrections are always free, and you get one round of edits on emphasis and approach after you have the final letter.
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.
Two charges: a $149 deposit at intake (Stripe), then a $400 invoice sent after the physician reviews your records and approves the draft. The letter is delivered upon receipt of the $400 payment. Clients pay $400 at invoicing. No subscriptions, no auto-renewals.