Have you thought about a nexus letter?
Nexus Letters for VA Claims
Need medical evidence connecting your condition to service, or denied because the connection was missing? We help prepare a request around your records. A licensed provider independently reviews the evidence and signs only if it supports their medical opinion.
Free AI-drafted letter with every account · provider-signed from $289
Full refund on request before signing, or if the provider cannot support the opinion. Read the refund policy
What is a nexus letter?
A nexus letter explains a medical connection between your current condition and military service, or an already service-connected condition. The word “nexus” means link. A qualified provider evaluates your records and explains the reasoning behind their opinion. A letter can address a missing connection, but the VA weighs all the evidence when deciding your claim.
How it works
Three steps — you don’t have to find your own doctor.
Prepare your records
Gather your documented diagnosis, relevant treatment and service records, and any prior VA decision. AI helps organize this information into a draft request for the provider to review.
Independent provider review
A licensed medical provider reviews your records and may ask for more information. They make their own clinical judgment and sign only when they can support the opinion. Purchasing a review does not guarantee a favorable letter.
You get a signed PDF
If the provider signs, receive a PDF you can submit as evidence with your claim or an eligible decision review. You review and submit your evidence; Valor Rating does not file it for you.
Meet our clinicians: read bios and check condition coverage
AI assists preparation; a provider makes the medical decision
AI helps organize the information in your records and prepare a draft. The licensed provider remains responsible for reviewing the evidence, the medical reasoning, and any opinion they sign. An AI draft alone is not a signed medical opinion.
Simple, flat pricing
One provider-signed letter, one condition. The provider’s medical review is included in the price — no separate review fee, no contingency fees, no cut of your back pay.
For comparison, Xterra Health lists its nexus letter at $500 (xterrahealth.com, September 30, 2026).
Valor membership is purchased separately. Compare membership plans
Prefer to use your own physician? Every account also includes one free AI-drafted nexus letter you can download and take to any provider to sign instead.
What veterans say
“Valor rating was able to prepare Nexus letters that supported the successful outcome of my claim. For the conditions that were claimed.”
“Valor Rating made the process very easy and it was not time consuming. Definitely recommend them to any veteran going through VA claims. Extremely happy with the service I received.”
Reviews from veterans who used Valor Rating. Experiences vary: a provider signs only when the evidence supports the opinion, and the VA decides every claim.
Common questions
What is a nexus letter?
A nexus letter is a medical opinion explaining whether a current condition is connected to military service or an already service-connected condition. A qualified provider explains the medical reasoning and evidence. The VA considers it alongside the rest of your claim.
How does it work?
We help organize your records and draft a request, then connect you with a licensed medical provider for independent review. The provider signs only if the evidence supports their medical opinion. If signed, you receive a PDF you can submit to the VA.
Who signs my letter?
A licensed clinician matched to your condition reviews your records and signs the letter. Mental health letters go to mental health clinicians, and a clinician with a narrow specialty only signs conditions within it. Every clinician's credentials are on our Our Clinicians page.
How long does it take?
Most letters are signed within three days of ordering. If the clinician needs more records or has a clinical question, it can take longer, and we email you when the letter is signed.
What if the clinician needs more records?
If the clinician needs more records, we ask you for them before anything is signed. If you can't provide them, you get a full refund.
How many conditions does one nexus letter cover?
Our service covers one condition per provider-signed letter. The price includes review of the records and rationale for that condition. Requests for additional conditions are priced separately; this is our service policy, not a VA rule about how many conditions a medical opinion may discuss.
What records should I have ready?
Gather records documenting your current diagnosis, relevant treatment and service history, and any prior VA decision for the condition. The provider may request more information before deciding whether they can support an opinion.
What if the provider cannot support a letter?
If the provider cannot support the medical opinion, you receive a refund. You can also request a full refund before the provider signs. After signing, refund requests are reviewed case by case. See our refund policy for complete terms, including requests awaiting additional records.
Do you guarantee my claim will be approved?
No. Neither a favorable medical opinion nor a VA approval is guaranteed. The provider exercises independent clinical judgment, and the VA decides your claim. Valor Rating is independent and is not affiliated with the U.S. Department of Veterans Affairs.
Support the connection. Strengthen your claim.
A nexus letter is medical evidence, not a guarantee — no one can promise a VA outcome. Valor Rating is an independent, veteran-owned tool. It is not affiliated with the U.S. Department of Veterans Affairs and does not submit claims on your behalf.