Clear Answers for Your Next Step

Over The Horizon connects veterans with licensed medical professionals who provide independent

medical opinions , specifically Nexus Letters and Disability Benefits Questionnaires (DBQs). These

documents are often the missing piece that helps veterans establish service connection or receive the

correct disability rating from the VA. We are not affiliated with the VA and we do not conduct C&P exams ,

we provide the independent medical evidence that supports your claim, reviewed solely in your interest.

No , you do not need an active claim to get started. Many veterans come to us before filing so they have

strong independent medical evidence from day one. Others come after a denial or a rating they believe is

too low. Our Nexus Letters and DBQs can be submitted with a new claim, a supplemental claim, or as part

of a formal appeal. Wherever you are in the process, we can build the documentation your case needs.

A Nexus Letter is a formal written opinion from a licensed medical professional stating that your current

condition is "at least as likely as not" , meaning 50% or greater probability , connected to your military

service. That exact phrase matters: it is the VA's own evidentiary standard, and a letter that uses it correctly

carries real legal weight. You likely need a Nexus Letter if the VA has denied your claim for lack of service

connection, or if you are filing for a condition that was not formally documented during your service.

A Compensation and Pension (C&P) exam is conducted by a VA-contracted provider whose findings

directly influence your rating , and these exams are frequently rushed, lasting as little as 15 to 30 minutes.

An independent Nexus Letter from Over The Horizon is written by a provider working solely in your interest,

with no connection to the VA, based on a thorough review of your full medical and service records. The VA

is legally required to weigh independent medical opinions submitted with your claim. A strong independent

letter can directly counter an inadequate C&P result.

Secondary service connection means a new condition is caused or made worse by a disability you are

already service-connected for. For example, a veteran with a service-connected knee injury who later

develops hip or back problems from compensating for the knee , those secondary conditions may be

ratable. Many veterans are unaware they qualify for secondary claims, and the VA rarely flags the

opportunity. We can provide an independent medical opinion establishing the secondary link, which is often

the only missing piece for these claims to succeed.

A Disability Benefits Questionnaire (DBQ) is a standardized VA form that documents the current severity,

frequency, and functional impact of a specific medical condition. VA raters use the DBQ to assign your

disability percentage , it is essentially the scoresheet. A private provider completing your DBQ is not

guessing; they are documenting clinical findings against the VA's own rating criteria. A well-completed DBQ

can be the difference between a 10% and a 70% rating for the exact same condition, and in many cases can

eliminate the need for a VA-scheduled C&P exam entirely.

Nexus Letter: needed when service connection has not yet been established , it answers the question "is

this condition related to your military service?" DBQ: most useful once service connection exists and you

need your rating to reflect the true severity of your condition , it answers "how bad is it?" Both together are

often the strongest approach when filing a new claim or appealing a denial, because you are simultaneously

proving the connection and documenting the severity. We will tell you exactly which applies to your situation

during your free consultation , no guesswork.

Our licensed providers cover a wide range of physical and mental health conditions, including musculoskeletal injuries and chronic back pain, PTSD and anxiety, traumatic brain injury (TBI), depression, hearing loss and tinnitus, sleep apnea, respiratory conditions, radiculopathy, GERD, migraines, and other service-connected conditions.

For every condition, physical or mental health, an existing diagnosis must already be documented in your medical records before we can proceed. That diagnosis does not need to date back to your time in service; it only needs to exist now and be connectable to an event, injury, or illness from your service.

If you are unsure whether your condition qualifies, ask during your free consultation.

Never. We charge a one-time flat fee per service , agreed to upfront, no surprises. Every dollar of your

monthly benefit increase and any back pay you receive belongs entirely to you. Percentage-based models

that take a cut of your disability compensation are prohibited under federal law for most claim-related

services, and we would reject that model regardless. You earned those benefits. They are yours.

Yes. All evaluations are conducted virtually through our HIPAA-compliant platform , no travel required,

available nationwide. Depending on your case, this will be either a live video evaluation with a licensed

provider or an in-depth chart review of your existing medical and service records. We will tell you which

approach applies before you commit to anything. Your records, communications, and evaluation findings are

never shared with the VA or any third party without your explicit written consent.