The Three AMA Decision Review Lanes
New evidence: Required (must be "new and relevant")
Who decides: Same regional office (different rater)
C&P exam: VA may order one
Avg timeline: ~125 days (2026)
Best when: You have new evidence the VA has not seen
New evidence: Not allowed
Who decides: Senior reviewer at the same regional office
Informal conference: Optional (you can request one)
Avg timeline: ~125 days (2026)
Best when: The VA made an error with existing evidence
Who decides: Veterans Law Judge (VLJ)
Three dockets available (choose one on form):
Which Lane Should You Choose?
| SCENARIO | BEST LANE |
|---|---|
| You have a new nexus letter or medical opinion | Supplemental Claim |
| The VA ignored evidence in your file | Higher-Level Review |
| The VA applied the wrong diagnostic code | Higher-Level Review |
| You need a hearing to explain your case | Board Appeal (Hearing) |
| You want the fastest possible resolution | Supplemental or HLR (~125 days) |
| You want the most thorough independent review | Board Appeal (Direct or Evidence) |
| Your effective date is wrong | Higher-Level Review |
| You were denied for no nexus opinion | Supplemental (with new IMO) |
Lane Switching
Under AMA, you can switch between lanes after receiving a decision. For example, if an HLR is denied, you can then file a Supplemental Claim with new evidence. If a Supplemental Claim is denied, you can appeal to the Board. Each switch preserves your effective date as long as you file within one year of the most recent decision. This "lane switching" flexibility under 38 C.F.R. § 3.2500(h) is one of the most significant improvements AMA brought to the appeals process.
Beyond the Board: CAVC and Federal Circuit
If the Board of Veterans Appeals denies your claim, you have 120 days to appeal to the U.S. Court of Appeals for Veterans Claims (CAVC). CAVC reviews Board decisions for legal error. If CAVC upholds the denial, you can appeal to the U.S. Court of Appeals for the Federal Circuit on questions of law. These are federal court proceedings and typically require legal representation.
Regulatory Citations
38 C.F.R. § 3.2501 - Supplemental Claims duty to assist
38 U.S.C. § 5107(b) - Benefit of the doubt
VA Form 20-0995 - Supplemental Claim
VA Form 20-0996 - Higher-Level Review
VA Form 10182 - Board of Veterans Appeals
M21-1, Part I.5 - Supplemental Claims procedures
M21-1, Part I.6 - Higher-Level Review procedures
M21-1, Part III.iv.8 - Clear and Unmistakable Error (CUE)