When the process runs as propsed, you will get referred to the MEB for all unfitting conditions, the VA will rate all claimed conditions and the DoD will apply VA ratings as appropriate to the referred conditions and determine which referred condition and ratings are applicable to the DoD rating... in my case I believe I was referred for all the proper conditions, Migraines, CPAP use due to Sleep Apnea, bilateral knee pain, rt should joint pain and PTSD.
My DoD ratings came back as
50% Sleep Apnea unfitting for constant CPAP requirements
30% bilaterally applied knee pain from surgical debridement and unfitting due to prolonged PT profile
20% right shoulder impingment unfitting due to prolonged PT profile
and 50% PTSD due to combat deployment but found fit for military due to AFSC reassignment and medications confirmed relief and no long term ill effects.
The DoD reviewed all my referred conditions and found one not unfit and only applied the unfitting conditions to the DoD rating. All other VA conditions were reviewed and found to fitting.
In short the DoD rated all referred conditions and reviewed all CLAIMED conditions. Only the PTSD required an adjustment and rejected the rating as it was found as a fit condition while all other VA claimed conditions were rejected as they were also found to be considered fit for service conditions.
Referred conditions are conditions you have that may warrant review to be fit/unfit for service - these lead to you being able to claim conditions with the VA during your IDES to include the referred conditions.
VA claimed conditions are ANY condition you claim for rating.