TL;DR
- File a Supplemental Claim (VA Form 20-0995) if you have new and relevant evidence VA has not seen, or if a change in law like the PACT Act applies.
- Request a Higher-Level Review (VA Form 20-0996) if VA made an error and you have no new evidence. The reviewer looks at the same file.
- A Higher-Level Review must be filed within 1 year of the decision letter date. A Supplemental Claim can be filed any time, but filing within 1 year protects your effective date.
- The informal conference is an optional, one-time call with the reviewer. It is not a formal hearing and may slow the decision.
- You cannot run two reviews on the same issue at the same time, but you can withdraw one and switch lanes within the 1-year window.
Here is the short answer on the va supplemental claim vs higher level review choice. File a Supplemental Claim (VA Form 20-0995) if you have new and relevant evidence VA did not consider before. Request a Higher-Level Review (VA Form 20-0996) if you believe VA made an error and you do not have new evidence (VA.gov).
That is the core rule. Below is a side by side comparison and a decision rule you can apply to your own denial letter.
What is the real difference between a Supplemental Claim and a Higher-Level Review?
One lane adds evidence. The other lane takes a second look at the same evidence.
With a Supplemental Claim, a reviewer decides if your new evidence changes the decision (VA.gov). New means information VA has not considered before. Relevant means it proves or disproves something in your claim (VA.gov).
With a Higher-Level Review, a higher-level reviewer decides whether an error or a difference of opinion changes the decision. They cannot consider new evidence (VA.gov).
How do the 20-0995 and 20-0996 compare side by side?
| Factor | Supplemental Claim (20-0995) | Higher-Level Review (20-0996) |
|---|---|---|
| Best for | You have new and relevant evidence, or a change in law applies (VA.gov) | You think VA got it wrong using the evidence it already had (VA.gov) |
| New evidence | Required, unless based on a change in law (VA.gov) | Not allowed (VA.gov) |
| Duty to assist | VA can help gather evidence you identify, like VA or private medical records (VA.gov) | Decided on existing evidence. If the reviewer finds VA failed to help you get evidence, VA gathers it and decides again (VA.gov) |
| Talking to VA | You can request a hearing at any time in the process (VA.gov) | Optional one-time informal conference call, not a formal hearing (VA.gov) |
| Filing deadline | Any time after a decision (38 CFR 3.2500(a)(2)) | Within 1 year of the decision letter date (VA.gov) |
| VA processing goal | Average of 125 days. Reported average was 58.7 days for compensation and pension in August 2026 (VA.gov) | Average of 125 days. An informal conference may take longer (VA.gov) |
| Effective date protection | Protected if filed within 1 year. After 1 year, no earlier than the date VA receives it (38 CFR 3.2500(h)) | Protected when filed within the 1-year window (38 CFR 3.2500(h)(1)) |
| Limits | Not for a condition that got worse. Not for a denied request to revise based on clear and unmistakable error (VA.gov, 38 CFR 3.2500(f)) | Not allowed after a prior Higher-Level Review or Board Appeal on the same issue (VA.gov) |
| If denied again | Higher-Level Review, Board Appeal, or another Supplemental Claim (VA.gov) | Board Appeal or Supplemental Claim (VA.gov) |
Neither lane is open for contested claims, where more than one person claims a benefit only one can get (VA.gov). Those go to the Board within 60 days of the decision notice (38 CFR 3.2500(g)).
When does a Supplemental Claim make more sense?
Pick this lane when the denial came down to missing proof. Read the reasons in your decision letter. If VA said something was not shown, your job is to show it.
Evidence that can count as new and relevant
- A new medical report. VA's own example: a report stating your service-connected injury led to the denied condition (VA.gov). For conditions linked to one you are already service connected for, see our secondary conditions guide.
- A buddy statement. VA's example: a fellow service member who saw the incident behind your back pain writes what happened and how it affects you (VA.gov). If your denial was a back issue, see our guide to VA ratings for back pain.
- Records VA never pulled. Give the facility name and treatment dates. For private providers, add VA Form 21-4142 so VA can request the records (VA.gov).
- A change in law. You can ask for review based on a law like the PACT Act, which added more than 20 presumptive conditions (VA.gov). Check the PACT Act presumptive list.
Written statements carry more weight when they are specific. If you want a structure to work from, our Statement Template Pack ($97) covers personal and buddy statements.
If VA schedules an exam, do not miss it (VA.gov). Our C&P exam tips walk through how to prepare.
When does a Higher-Level Review make more sense?
Pick this lane when the proof was already in your file and VA handled it wrong. Think of a factual or legal error, or a difference of opinion that a higher-level reviewer might see your way (VA.gov).
You must file within 1 year of the date on your decision letter. You also cannot use it if you already had a Higher-Level Review or Board Appeal on that same issue (VA.gov).
On the form, list every issue you disagree with and the decision date for each. One benefit type per form (VA.gov).
To spot a rating error, you need to know what the criteria say. Our playbook on the rules VA rates by helps, and the Rating Gap Check is a quick way to see where your rating may fall short of what the criteria describe.
Should I ask for the informal conference?
- It is an optional call with the higher-level reviewer assigned to your case (VA.gov).
- You or your representative point out factual or legal errors. You cannot submit new evidence (VA.gov).
- You get only 1 per Higher-Level Review, and it is not a formal hearing (VA.gov).
- The reviewer makes 2 attempts to reach you. If they cannot connect, they decide without the call (VA.gov).
- Select it in step 3 of the online form, or item 16A on the PDF (VA.gov).
It may add time. VA suggests a written statement with your request explaining the errors as a faster option (VA.gov).
How does each option protect my effective date?
Stay inside the 1-year window and your effective date stays protected. If you keep filing a review option within 1 year of each decision, VA fixes the effective date by the date it received your initial claim or the date entitlement arose, whichever is later (38 CFR 3.2500(h)(1)).
Miss the window and only the Supplemental Claim stays open. In that case, the effective date will not be earlier than the date VA receives the Supplemental Claim (38 CFR 3.2500(h)(2)).
The rule names one narrow exception. If VA grants an extension of the 1-year period for good cause under 38 CFR 3.109(b), a Supplemental Claim received within that extension keeps continuous pursuit (38 CFR 3.2500(e)(2)).
Do not count on it. Mark your decision letter date on a calendar.
Can I file both at once or switch lanes?
You cannot file a second review option on the same issue while one is pending (38 CFR 3.2500(b)).
You can switch. Withdraw the pending Supplemental Claim or Higher-Level Review in writing or electronically before VA decides it. The withdrawal takes effect the day VA receives it (38 CFR 3.2500(d)).
Then file the new option within 1 year of the original decision notice (38 CFR 3.2500(e)(1)).
Example: you filed a Higher-Level Review, then a buddy finally sends the statement you needed. Within the 1-year window, you could withdraw and file a Supplemental Claim instead.
What is the decision rule for picking my lane?
Run each denied issue through these checks in order.
- Did a rated condition get worse? Neither review fits. File a claim for increase (VA.gov). See how to increase your rating.
- Has more than 1 year passed since the decision letter? A Supplemental Claim is your option, if you have new and relevant evidence or a change in law applies. The later effective date rule applies (38 CFR 3.2500(h)(2)).
- Do you have, or can you identify, new and relevant evidence? File a Supplemental Claim.
- No new evidence, but you can point to a specific error? Request a Higher-Level Review, as long as you have not had one or a Board Appeal on that issue.
- Already had a Higher-Level Review and still no new evidence? A Board Appeal on VA Form 10182 is the remaining route (38 CFR 3.2500(c)(2)). File it within 1 year of the Higher-Level Review decision (38 CFR 3.2500(a)(1)).
Different issues in one decision can go different ways. Your file is unique, so confirm your lane with an accredited VSO, claims agent or attorney.
What happens if the new decision still goes against me?
You keep options. After a Supplemental Claim decision, you can request a Higher-Level Review, a Board Appeal, or file another Supplemental Claim with more new evidence (VA.gov). After a Higher-Level Review, you can go to the Board or file a Supplemental Claim (VA.gov).
The Board's goal for its Direct Review docket is an average of 365 days, with longer goals for the Evidence Submission and Hearing dockets (VA.gov). Filing each step within 1 year keeps your effective date protected (38 CFR 3.2500(h)(1)).
What should I do today?
Pull your decision letter. Write down the date and the exact reason VA gave for each denied issue.
Next to each one, write "missing evidence" or "VA error." That list tells you which form to reach for, and an accredited VSO can check it with you before you file.
If you are in crisis right now: contact the Veterans Crisis Line. Dial 988 then press 1, text 838255, or chat at VeteransCrisisLine.net.
Frequently asked questions
Can I submit new evidence with a Higher-Level Review?
No. The higher-level reviewer considers the same evidence VA already had. If you have new and relevant evidence, VA points you to a Supplemental Claim or a Board Appeal instead.
How long do I have to file a Supplemental Claim?
You can file a Supplemental Claim any time after VA issues a decision. If you file within 1 year of the decision, VA sets the effective date by the date it received your initial claim or the date entitlement arose, whichever is later. If VA receives it after 1 year, the effective date will not be earlier than the date VA received the Supplemental Claim.
Can I request a Higher-Level Review after my Supplemental Claim is denied?
Yes. You can request a Higher-Level Review within 1 year of a Supplemental Claim decision. You cannot request one if you already had a Higher-Level Review or Board Appeal on the same issue.
Is the Higher-Level Review informal conference the same as a hearing?
No. It is an optional call with the assigned reviewer where you or your representative point out factual or legal errors. You get only 1 per review, you cannot add evidence, and it may slow the decision.
Should I file a Supplemental Claim if my condition got worse?
No. VA says if a rated condition has gotten worse, you should file a claim for increased disability compensation. Supplemental Claims are for new and relevant evidence or a change in law.
Will VA help me get records for a Supplemental Claim?
Yes. VA can help gather records from a VA medical center, other federal facility, or private provider if you give the facility name and treatment dates. For private records, you also need to fill out VA Form 21-4142.