What happens after the referral?
The wounded, ill, or injured Service Member will be assigned a PEBLO, located in the Medical Boards section of the military treatment facility (MTF), who will develop the VA Claim (Part 1 of the VA Claim Form 21-0819). PEBLOs will consult with all medical specialists to determine which medical condition(s) should be included. The Service Member will be referred to a VA claims development representative, the Military Service Coordinator (MSC) who counsels them on the VA portion of IDES and assists them in completing parts II-IV of the claim. Additionally, the MSC will schedule all VA medical exams required for the IDES process. In addition to the MEB referred conditions the Service Member may claim disability for any service incurred or aggravated medical conditions.
Physical examination, specialty examination, diagnostic testing, laboratory test
Examinations (including laboratory and diagnostic tests) are completed by a combination of military, VA, or authorized civilian medical providers. Results are summarized in the Narrative Summary (NARSUM). The DoD MTF is responsible for the production of the NARSUM and Medical Evaluation Board Report (also referred to as the IDES case file). The PEBLO oversees the final assembly of all components of the case filed and delivers to the local MTF convened Medical Evaluation Board (MEB).
Documents Contained in IDES cased file
Typical Medical Evidence
A narrative summary (NARSUM)
History and treatment of the specific injury or illness
All referrals to doctors and sick call (health record)
Type and frequency of medication
Results of physical exam completed within past six months
Typical Non-Medical Evidence:
Non-medical Assessment from the member's unit commander (impact of medical condition(s) on normal military duties)
Line of duty (misconduct) investigations
Personnel Casualty Report (PCR) as applicable
Last two years of fitness reports or pros and cons
Member's Personal Impact Statement
Medical Evaluation Board Determination
The MEB consists of two to three medical officers appointed by the local MTF Commander. They review the IDES case file to determine appropriate diagnosis and ability to return to full, unrestricted duty. If the Service Member is expected to recover and return to full duty, the MEB may recommend placing them on Temporary Limited Duty (TLD) for a specific time frame, after which the Service Member must return to full duty. Otherwise, the Service Member will be referred to the Physical Evaluation Board (PEB) phase.