If one or more of your VA C&P DBQ reports contain errors that might lower your proposed rating in an IDES case, please ignore the conventional advice given by PEBLOs and DES Counsel to wait and see whether the VA recognizes these errors.

First of all, the personnel at the VA Rating Activities that process IDES cases deal with thousands of claims and really do not have the time to check each DBQ against the medical records uploaded by your PEBLO.

Thus, the burden is on you to rebut bad DBQ reports by pointing out these errors on a VA Form 21-4138, accompanied by the medical and nonmedical evidence that supports the points that you are trying to make.

Second, you will find that many PEBLOs, MSC, and DES Cousnel will tell you that you cannot supplement your VA case file once the PEBLO has uploaded your original MEB package to the PEB servicing your branch.

This is terrible advice that could prejudice the outcome of your case.  Therefore, whenever you have had a significant medical appointment, imaging study, or procedure, you should upload these records directly to your VA case file via Quick Submit.

Why?  Because taking these proactive steps might well cause the VA Rating Activity to ignore any flawed DBQ exam reports and instead base their rating decision upon the evidence that you have provided in support of your case.