NARSUM Rebuttal/ IMR

[CalMorss]

Good morning,

I am going through IDES. In November, I received my NARSUM. I submitted a rebuttal and demanded an IMR.

This morning, my PEBLO told me my case is at the PEB being adjudicated. Should I have received feedback on my IMR or NARSUM before it was sent to the PEB?

I'm worried my PEBLO isn't keeping me in the loop.

 

[popnik]

Sounds like it. Id ask for a copy of the package that was sent up to review whether IMR and your rebuttal made it there. You can also reach out to disability counsel who can help you do that.

 

[johnbgately]

If you submitted an IMR request, ten you should have received a written response from the IMR provider through your PEBLO. Then, at that point, you could decide to submit a rebuttal if needed. You would then receive a response to the rebuttal- this response is called a surrebuttal.

Let's review these two means of contesting inaccuracies in the NarSum or simply updating it. An IMR request is used primarily when you are trying to add conditions to your IDES-referred list of disqualifying conditions to be considered by the PEB for your respective service. A rebuttal can be used to correct inaccuracies in the original NarSum- i.e., where the provider's write-up is mostly accurate, but some dates, test results, or symptoms are inaccurately recorded. It can also be used to reply to the IMR provider's response. However, in either case, there would be a written response that you should've received through your PEBLO. I will note that, on the EMEBR format used by the USAF and USN/USMC, some providers will simply type a short response into the block provided for such entries in the EMEBR. So, if you are in one of these services, I would actually check the final EMEBR NarSum carefully, as you may already have your answer in that document. However, most of the time, there will be a separate written document explaining the provider's rationale in more detail .

 

[JakeTrilla]

If you submitted an IMR request, ten you should have received a written response from the IMR provider through your PEBLO. Then, at that point, you could decide to submit a rebuttal if needed. You would then receive a response to the rebuttal- this response is called a surrebuttal.

Let's review these two means of contesting inaccuracies in the NarSum or simply updating it. An IMR request is used primarily when you are trying to add conditions to your IDES-referred list of disqualifying conditions to be considered by the PEB for your respective service. A rebuttal can be used to correct inaccuracies in the original NarSum- i.e., where the provider's write-up is mostly accurate, but some dates, test results, or symptoms are inaccurately recorded. It can also be used to reply to the IMR provider's response. However, in either case, there would be a written response that you should've received through your PEBLO. I will note that, on the EMEBR format used by the USAF and USN/USMC, some providers will simply type a short response into the block provided for such entries in the EMEBR. So, if you are in one of these services, I would actually check the final EMEBR NarSum carefully, as you may already have your answer in that document. However, most of the time, there will be a separate written document explaining the provider's rationale in more detail .

I am confused abut IMR vs Rebuttal, could you elaborate?

TLDR;The ideal outcome is: add the right hand, and have all symptoms included for each hand and each foot.

I have four conditions: frostbite on each hand, and each foot. The symptoms are the same for each. I had a VA rating prior to the MEB, so I submitted those DBQs in my packet. The conditions did not change, and I was clear about that in my C&P exam recently completed for the MEB process.

The most recent DBQ is all sorts of messed up. The most recent DBQ had diagnosis of one hand and two feet, all showing the existing symptoms. The right hand was simply not included in the diagnosis block.

In the symptoms block, both hands and both feet check boxes were checked, but the symptoms for the feet were not checked, so the diagnosis block and the symptoms block don’t match the feet, and the right hand only appears in the symptoms area of the DBQ.

Does an IMR solve this? My PEBLO is suggesting that the IMR cannot make changes, (it can only review and suggest accuracy or inaccuracy) vs a rebuttal which can change things. The Army lawyer is suggesting an IMR with a note that states I want the right hand added to the unfitting conditions on the 3947(which sounds like a rebuttal, not an IMR)

 

[JakeTrilla]

I am confused abut IMR vs Rebuttal, could you elaborate?

TLDR;The ideal outcome is: add the right hand, and have all symptoms included for each hand and each foot.

I have four conditions: frostbite on each hand, and each foot. The symptoms are the same for each. I had a VA rating prior to the MEB, so I submitted those DBQs in my packet. The conditions did not change, and I was clear about that in my C&P exam recently completed for the MEB process.

The most recent DBQ is all sorts of messed up. The most recent DBQ had diagnosis of one hand and two feet, all showing the existing symptoms. The right hand was simply not included in the diagnosis block.

In the symptoms block, both hands and both feet check boxes were checked, but the symptoms for the feet were not checked, so the diagnosis block and the symptoms block don’t match the feet, and the right hand only appears in the symptoms area of the DBQ.

Does an IMR solve this? My PEBLO is suggesting that the IMR cannot make changes, (it can only review and suggest accuracy or inaccuracy) vs a rebuttal which can change things. The Army lawyer is suggesting an IMR with a note that states I want the right hand added to the unfitting conditions on the 3947(which sounds like a rebuttal, not an IMR)