Veterans Nexus Letters for Veterans Residing in Nevada
VerisMind provides independent mental health nexus letters for Veterans seeking a medical opinion in support of a VA disability claim. Nexus letters are structured clinical documents that address whether a diagnosed mental health condition is at least as likely as not related to military service, based on records review, diagnostic criteria, and medical reasoning.
Services are provided as independent medical opinions. Disability determinations and ratings are made by the Department of Veterans Affairs and cannot be guaranteed.
Dr. Baros, APRN is licensed as a psychiatric mental health nurse practitioner and provides independent medical opinions for Veterans residing in Nevada in accordance with state scope of practice and professional standards.
For a full description of Veterans Nexus letter services, including process, fees, and limitations, visit the main Veterans Nexus Letters page.
Medical Record Review and Fees
All Veterans Nexus letter requests begin with a medical record review and investigative assessment. This initial step allows determination of whether sufficient documentation exists to support an independent medical opinion and to estimate the scope of work required.
The medical record review and investigative assessment fee is $300. This fee covers a limited clinical review focused on record sufficiency, timeline clarity, diagnostic plausibility, and identification of any gaps that may affect the ability to render a defensible nexus opinion. This fee is non-refundable. If the case proceeds, the $300 screening fee is applied toward the total cost of the nexus letter.
Following completion of the medical record review and investigative assessment, Veterans are provided with a written fee estimate based on the level of complexity involved.
Nexus Letter Fee Levels
Medical Record Review and Investigative Assessment – $300
Level 1 – $700 (minus screening credit)
Appropriate for cases with limited record volume, a clear timeline of symptom onset, and straightforward clinical questions. These cases typically involve a single primary diagnosis with documentation that reasonably supports review and opinion formation.
Level 2 – $1,000 (minus screening credit)
Appropriate for cases with moderate record volume, multiple relevant records across time, or added clinical complexity. These cases may involve diagnostic clarification, overlapping conditions, or secondary mental health considerations that require additional analysis.
Level 3 – $1,300 (minus screening credit)
Appropriate for cases with extensive records, complex timelines, secondary or comorbid conditions, or higher-acuity presentations. These cases require more extensive review, synthesis, and clinical reasoning to produce a defensible medical opinion.
Fee level determinations are based on record volume, complexity of the clinical question, need for diagnostic clarification, and the clinical time required for review, interview when indicated, and letter preparation. Fees are based on clinical work performed and are not related to claim outcomes or disability ratings.
No work beyond the initial medical record review and investigative assessment begins until scope, timeline, and fees are clearly agreed upon.