II.iii.2.B.1.d. Requirement for Potentially New Evidence | | To be considered a complete claim, a supplemental claim must identify or include potentially new evidence.Potentially new evidence is evidence that may be new to the claim, thereby providing some potential basis for a supplemental claim. When deciding if a supplemental claim is substantially complete, there is no need to determine that the evidence is non-duplicative or that it is relevant. Any evidence must be accepted when making the complete claim threshold determination. Note: Once a claim is considered substantially complete, a decision must be issued on the basis of whether the evidence is new and relevant as described in M21-1, Part X, Subpart ii, 2.A.2.d.Carefully screen all newly received evidence per the steps in the table below to determine the appropriate action. | Step | Action |
|---|
| 1 | Determine if there is potentially new evidence by reviewing for- evidence submitted or identified with the claim
- additional treatment records found by following the instructions in M21-1, Part III, Subpart ii, 1.A.2.a, and
- evidence submitted while the evidentiary record was closed, such as
- during the processing of a higher-level review, or
- after a final decision unaccompanied by a claim or decision review.
Is there potentially new evidence?- If yes, go to the next step.
- If no, follow the incomplete claim procedures detailed in M21-1, Part II, Subpart iii, 2.B.1.e.
| | 2 | Does the new evidence warrant additional development action(s)?- If yes,
- complete required development actions, and, when complete,
- refer the claim for a decision.
- If no, either
- take authorization/award action (if no rating decision is needed), or
- refer the claim to the rating activity for a decision once any applicable 30-day response period required under Section 5103 has expired.
| References: For more information on- the definition of a complete claim, see
- duty to assist and supplemental claims, see M21-1, Part X, Subpart ii, 2.A.1.d
- new and relevant evidence, see 38 CFR 3.2501
- new and relevant evidence and claims for increase, see M21-1, Part II, Subpart iii, 2.C, and
- action required on evidence submitted with a supplemental claim, see M21-1, Part X, Subpart ii, 2.A.2.e.
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