Medical evidence services · brand review

Telemedica review: two prices for one nexus letter

The purchase page prices a nexus letter at $849; the rate card inside the payment terms prices a medical nexus letter at $1,595 plus a required $325 review and a $125 non-refundable fee.

Sources checked Sep 3, 2026

Operator
Telemedica, LLC, of Austin, Texas. BBB lists the business as started and incorporated 1/1/2020.Source: Better Business Bureau — Telemedica, LLC profile (Austin, TX) · Verified Sep 3, 2026
Model
A telehealth marketplace. Telemedica LLC takes the payment and an administrative management fee; the clinical work and the professional fee belong to an independent provider's PLLC. "Telemedica does not provide any professional services."Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Advertised price
$849 for a nexus letter on the purchase page, $974 for two-business-day priority. The payment terms' rate card says $1,595 for a Medical Nexus Letter, or $620 at a third-party member rate.Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
Payment plan
Yes — the payment terms name Afterpay, a buy-now/pay-later service, alongside card and eCheck. Afterpay's own fees are outside Telemedica's control.Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
VA-accredited

Public sources checked Sep 3, 2026. Terms change; check them before you sign anything.

Advertised$849 — Nexus Letter, on the page that sells itSource: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
In the terms$1,595 in the rate card, after a required $325 eligibility review and a $125 non-refundable feeSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026

VeteranAI is our product, so this review is not neutral. Every fact on the page links to the document it came from and the date we read it. Judge the sources, not us.

On 3 September 2026, Telemedica's nexus letter purchase page offered a Nexus Letter at $849 and a two-business-day Priority version at $974. The Fee Disclosures inside the company's Terms and Conditions, last updated 8 January 2025, list a Medical Nexus Letter at $1,595 at standard rates and $620 at a "third-party member" rate, marked with a dagger meaning a chart review must be completed first — that review is the $325 Medical Nexus Eligibility Review on the same list, and it carries a $125 non-refundable Technology & Access Fee. We did not buy anything, so we cannot say which figure a veteran is charged. We can say both are published by the same company on the same day, and that the two documents are the only two places the site puts a number.

The company is Telemedica, LLC of Austin, Texas — a marketplace rather than a clinic. Its own terms are explicit about that: each starred fee "is made up of two separate charges: (i) a portion is retained for the professional fee charged by the Independent Provider's PLLC, and (ii) a portion is retained for an administrative management fee charged by Telemedica LLC," and "Telemedica does not provide any professional services, including but not limited to health evaluations or medical diagnostic services." The proportion between the two halves is not published.

Two documents a company handling veterans' medical records would normally publish are absent. The page at /privacy-policy carries no privacy policy — the words "personal information", "we collect", "HIPAA" and "retain" do not appear in its HTML at all, only links to contact, home, and a ticket portal. The page at /terms-and-conditions carries Payment Terms and nothing else: no scope of service, no statement of what the company will not do. An accredited VSO will file and appeal your claim for $0, and publishes neither of those documents because it does not need to sell you anything.

VeteranAI is our product, so this review is not neutral. Every fact on the page links to the document it came from and the date we read it. Judge the sources, not us.

What we did not do
  • We did not buy the service.
  • We did not enter a customer portal, so we never saw a checkout total.
  • We did not contact staff.
  • We did not read a signed client contract — the only terms published are Payment Terms.
  • We did not read the docket in MRPY Professional Services LLC v. Telemedica LLC; the filings are behind PACER.
03 · TL;DR

The short version

  • The purchase page prices a Nexus Letter at $849 and a two-business-day Priority Nexus Letter at $974 — a $125 premium, about 15% more, for the faster delivery.

    Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
  • The rate card inside the payment terms prices a Medical Nexus Letter at $1,595, or $620 for a "third-party member", and marks it as requiring a chart review first. That review is a $325 Medical Nexus Eligibility Review.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • Mental health evaluations, telemedicine evaluations and nexus eligibility reviews carry a $125 non-refundable Technology & Access Fee, charged when services are initiated.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • The 7-day refund window closes early: "once a provider has begun the Initiation of Services, no full refunds will be issued, even if within the 7-day refund eligibility window." Initiation is triggered by you uploading your documents and attesting they are complete.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • The discounted rate depends on a membership you hold elsewhere. "You will only be eligible for the preferred third-party discount rate if you have an active contract with the preferred third-party," and cancelling that membership 72 hours or more before the appointment bills you at the non-discounted rate.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • Telemedica LLC is the payment collector and administrator, not the clinician: the fee splits between an independent provider's PLLC and Telemedica's administrative management fee, and the terms say Telemedica "does not provide any professional services".

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • The privacy policy page contains no privacy policy — only links to contact, home and a ticket portal — and the terms page contains payment terms only, with no scope of service.

    Source: Telemedica — Privacy Policy page · Verified Sep 3, 2026
  • One court record names the company: MRPY Professional Services LLC v. Telemedica LLC, filed in the District of Arizona on 23 February 2026. It is a suit between two businesses, and the docket we could read shows no judgment.

    Source: CourtListener — full-text search for "Telemedica", all courts · Verified Sep 3, 2026
04 · The company

What Telemedica actually is

  • BBB reports: Telemedica, LLC is an Austin, Texas company that BBB records as started and incorporated on 1/1/2020, six years in business, not BBB accredited and not rated by BBB.

    Source: Better Business Bureau — Telemedica, LLC profile (Austin, TX) · Verified Sep 3, 2026
  • It describes itself as a network rather than a practice: "Our vast network of Telehealth providers work together to provide high-quality medical evidence to veterans seeking to increase their disability benefits," with licensed providers in all 50 states.

    Source: Telemedica — About · Verified Sep 3, 2026
  • Letters are written by "a qualified healthcare professional, such as a PA-C or Nurse Practitioner" and are "signed by a licensed provider with relevant credentials." Mental-health appointments are matched to a provider licensed in the state you select at booking.

    Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
  • The home page claims "Over 25,000 Veterans Served!" There is no footnote, date, or definition of "served" beside it.

    Source: Telemedica — home page · Verified Sep 3, 2026
  • The company is not on VA's accreditation roster as an organisation, so it cannot represent you. Under 38 U.S.C. § 5901 only an accredited person may act for a claimant.

    Source: VA Office of General Counsel — Accreditation search · Verified Sep 3, 2026
  • Disputes are governed by Texas law with proceedings brought exclusively in Travis County, Texas. Payment data is retained for up to 7 years after your last transaction.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
05 · Fees

What it costs, from the documents

Two lists, both the company's own. The first column below names which document each figure comes from, because they do not agree and we did not buy anything that would settle which one is charged.

ItemAmount, from the company's own documents
Nexus Letter — purchase page
$849Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
Nexus Letter, 2-business-day priority — purchase page
$974Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
Medical Nexus Letter — payment terms rate card
$1,595 standard, $620 third-party memberSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Medical Nexus Eligibility Review (required before a letter)
$325, both rate columnsSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Technology & Access Fee
$125, non-refundable, on evaluations and eligibility reviewsSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Mental Health Evaluation — purchase page
$1,299 comprehensive, $775 focusedSource: Telemedica — Mental Health Evaluations purchase page · Verified Sep 3, 2026
Mental Health Evaluation Package — payment terms rate card
$1,495 standard, $799 third-party memberSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Mental Health Rebuttal Letter — purchase page
$275, or $400 for 2-business-day prioritySource: Telemedica — Rebuttal Letters purchase page · Verified Sep 3, 2026
Mental Health Rebuttal Letter — payment terms rate card
Medical DBQ
$1,400 standard, $425 third-party memberSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Telemedicine Medical Diagnosis Evaluation
$985 standard, $524 third-party memberSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Missed appointment, or a third reschedule
Mental-health appointment taken outside the state you booked
$50 rescheduling feeSource: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
The split between the provider's fee and Telemedica's administrative feeNot published — source required
Needs: a published breakdown of the two charges inside each starred fee — the terms say every starred price contains both, without saying in what proportion
Worked examples
06 · Guarantee

The guarantee, line by line

ProvisionWhat it saysMain limitation
Seven-day refund window

"A transaction may be eligible for a refund up to seven (7) days from the date of the completed payment." Refunds go back to the original payment method.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026

"once a provider has begun the Initiation of Services, no full refunds will be issued, even if within the 7-day refund eligibility window." Initiation begins as soon as you have uploaded your documents and attested they are complete — an act you perform, not one you are notified of.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Technology & Access Fee

"there is a $125 non-refundable Technology & Access Fee. This is obtained when services are initiated."

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026

Non-refundable is stated flatly, with no exception for a service that is never delivered. The Medical Records Review/Administrative Fee is separately named as non-refundable too.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
No guaranteed letter

"No, we cannot guarantee a Nexus letter from the Medical Nexus team. The Medical Nexus team will review the request and uploaded documents, then communicate with the veteran directly through the patient portal."

Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026

The eligibility review and its non-refundable fee are paid before that determination. The terms name no refund tied to a declined letter; "partial refunds or credit towards future services may be considered on a case-by-case basis."

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Service not rendered in 90 days

"If a service is not rendered within 90 days of booking, a refund may be issued, minus any applicable fees, including the non-refundable booking fee."

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026

"May be issued," not will, and net of every fee the terms have already named non-refundable. Refunds cannot be processed at all more than one year after the original transaction.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Billing disputes

You may contest an invoice in writing to be eligible for an adjustment.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026

"If you fail to notify us in writing within seven (7) calendar days after your receipt of the invoice that you believe is inaccurate … then you waive your right to challenge such bill."

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
07 · Marketing vs contract

What the sales page says and what the agreement says

The sales page says

"Nexus Letter — $849" on the page a veteran buys from.

Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
The contract says

"Medical Nexus Letter*† — $1,595" in the Fee Disclosures, where † means "Chart review must be completed prior to service" and the chart review is the $325 Medical Nexus Eligibility Review.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
The sales page says

"Mental Health Evaluation — Comprehensive $1,299 · Mental Health Evaluation — Focused $775" on the purchase page.

Source: Telemedica — Mental Health Evaluations purchase page · Verified Sep 3, 2026
The contract says

"Mental Health Evaluation Package* — $1,495" at standard rates and "$799" at third-party member rates, plus the $125 non-refundable Technology & Access Fee.

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
The sales page says

"experts in crafting high-quality medical evidence that wins VA claims" and "Over 25,000 Veterans Served!", both undated and unfootnoted.

Source: Telemedica — home page · Verified Sep 3, 2026
The contract says

"we cannot guarantee a Nexus letter," and the terms make Telemedica the administrator rather than the clinician: it "does not provide any professional services, including but not limited to health evaluations or medical diagnostic services."

Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
08 · Accreditation

What Telemedica can and cannot do for you

TaskTelemedica's public terms
Explain general VA concepts or provide educational tools
YesSource: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
Generate drafts and organize information
YesSource: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
Provide support after a denial
YesSource: Telemedica — Rebuttal Letters purchase page · Verified Sep 3, 2026
Submit a claim, appeal, evidence, or other filing for youNot published — source required
Needs: the company's terms or disclaimer on: submit a claim, appeal, evidence, or other filing for you
Become your representative of record
Access VA systems as your appointed representative
Speak for you before VA, the Board, or the CAVC
Provide legal adviceNot published — source required
Needs: the company's terms or disclaimer on: provide legal advice
Provide medical care or arrange a medical opinion
09 · Privacy

Your records: who holds them, for how long

  • There is no privacy policy. The page linked from every footer as "Privacy Policy" contains three sentences of navigation help and nothing else; the words "personal information", "we collect", "HIPAA" and "retain" appear nowhere in its HTML.

    Source: Telemedica — Privacy Policy page · Verified Sep 3, 2026
  • The only data-handling commitments we could find anywhere on the site are inside the payment terms, and they cover payment data rather than medical records: it is retained "for a period of up to 7 years after your last transaction, after which it will be securely deleted unless retention is required by applicable laws or regulations."

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • The payment terms promise breach notification for payment information by email or other appropriate means, with details of the breach, the type of information affected, and remediation steps. No equivalent commitment covers the medical records you upload.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • The payment terms state that Telemedica and its processors comply with GDPR and CCPA. Neither statute is the one that governs the medical records here, and no page names HIPAA.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
  • You upload your medical records into a portal and attest to their completeness — that act is what the terms define as "Initiation of Services". Where those records go, who inside the network reads them, how long they are kept, and whether you can have them deleted are not addressed by any published document.

    Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
11 · What veterans say

Review platforms, weighed against each other

Platforms disagree with each other, so they are listed side by side with their sample sizes rather than averaged.

12 · Fit

Who it fits, and who should choose another route

May be a good fit if
  • You need a provider licensed in your own state for a mental-health evaluation and want that matching done for you — the booking flow asks for your state first.
  • You want the option to spread the cost: the payment terms name Afterpay alongside card and eCheck, which most of this category does not offer.
  • You are covered by one of the third-party memberships the rate card discounts, in which case the letter price falls from $1,595 to $620 and the DBQ from $1,400 to $425.
  • You want a rebuttal letter after a denial and a two-business-day turnaround is worth $125 to you.
Choose another route if
  • You need to know the price before you commit. Two of the company's own documents give different figures for the same document, and we could not reconcile them without buying.
  • You want to know what happens to your medical records. There is no privacy policy on the site to read.
  • You want a written statement of what the company will not do. The only terms published are payment terms.
  • You may change your mind. The refund window closes the moment you finish uploading and attest — an action you take before anyone has done any work.
  • You want someone to represent you. Telemedica is not on VA's accreditation roster; an accredited VSO will represent you for $0.
13 · Comparison

Telemedica, an accredited VSO, and VeteranAI

TelemedicaAccredited VSO · $0VeteranAI
What it is
A telehealth marketplace. It collects payment and takes an administrative fee; independent providers' PLLCs do the clinical work and sign the documents.Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Accredited representation. A VSO officer files, argues, and appeals for you.Software. Reads your C-file and decision letters and drafts statements you edit and file yourself.
Fee model
Per document, paid up front, with a $125 non-refundable Technology & Access Fee on evaluations and eligibility reviews. $849 on the purchase page or $1,595 in the rate card for a nexus letter.Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
$0. No fee, no percentage, ever.Published subscription. $25/mo · $250/yr for Pro; Pro is $25/month or $250/year. Max 3× is $49/month or $499/year. Max 5× is $99/month or $999/year.
Tied to your back pay
No. Every published figure is a flat price for a document; nothing in the payment terms references benefits or back pay.Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
No.No. The same price whether the claim is granted or denied.
Cancel
Seven days from payment, but no full refund once a provider has begun work — which starts when you finish uploading and attest that your documents are complete.Source: Telemedica — Terms and Conditions (Payment Terms, last updated 1/8/2025) · Verified Sep 3, 2026
Revoke the appointment at any time by filing a new VA Form 21-22.In-app, any time. Billing stops at the end of the period you paid for.
Files on your behalf
No. No unaccredited company can file for you, and the company is not on VA's roster.Source: 38 U.S.C. § 5901 — Prohibition against acting as claims agent without recognition · Verified Sep 3, 2026
Yes. Your representative of record.No. You file, or your accredited representative does.
VA-accredited
No. The accredited-organisation search returned no entry for Telemedica on the day this page was checked.Source: VA Office of General Counsel — Accreditation search · Verified Sep 3, 2026
Yes.No. We are not accredited and not your representative; verify at https://www.va.gov/ogc/apps/accreditation/index.asp.
Signed medical opinion
Yes — that is the product. A licensed provider such as a PA-C or nurse practitioner signs it, and the company says it cannot guarantee one will be written.Source: Telemedica — Nexus Letters purchase page · Verified Sep 3, 2026
No. A VSO helps you gather evidence; a clinician signs an opinion.No. We draft a nexus letter from your records and the medical literature for your own clinician to review, edit, and sign.
Regulatory history
No VA warning letter and no state action found. One private civil suit, MRPY Professional Services LLC v. Telemedica LLC, was filed in D. Ariz. in February 2026 with no decision on the readable docket.Source: CourtListener — full-text search for "Telemedica", all courts · Verified Sep 3, 2026
Accreditation is granted and can be revoked by VA's Office of General Counsel.No VA warning letters and no state actions on record.

VeteranAI is a different category from the company reviewed here. The column is included so the three options a veteran actually weighs sit on one line, not to suggest we do what they do.

14 · Questions

10 questions to ask before paying

Bring these to the call
  1. Which price applies to me — the $849 on your nexus letter page or the $1,595 in your Fee Disclosures? Put the answer in writing before I pay.
  2. Is the $325 Medical Nexus Eligibility Review required before my letter, and is its $125 Technology & Access Fee charged on top?
  3. Which third-party memberships qualify for your discounted rate, and how do I check whether I hold one?
  4. Of the fee I pay, how much is the provider's professional fee and how much is Telemedica's administrative management fee?
  5. At exactly what moment does my refund window close, and how will you tell me it has closed?
  6. If the provider decides no nexus letter can be written, what have I paid and what do I get back?
  7. Where is your privacy policy? What happens to the medical records I upload, who reads them, how long are they kept, and how do I have them deleted?
  8. Are you covered by HIPAA for the records I upload, and if so, under which entity — Telemedica LLC or the provider's PLLC?
  9. Who signs my letter, what are their credentials, and are they licensed in my state?
  10. Have you told me, unprompted, that an accredited VSO will file and appeal my claim for $0?
15 · Bottom line

Where this leaves you

Telemedica does the thing VeteranAI does not: an independent licensed provider examines or reviews you and signs a medical opinion. We draft nexus letters from your records and the medical literature for your own clinician to review, edit and sign; we employ no clinicians and sign nothing. If your file needs that signature and you have no clinician to give it, this category is the answer and Telemedica is in it, in all 50 states.

What this review cannot tell you is the price. Two of the company's own documents, live on the same day, put a nexus letter at $849 and at $1,595-plus-$325-plus-$125, and we did not buy one to find out which is charged. That is a question to settle in writing before paying, not after. The two absent documents — a privacy policy with any policy in it, and terms that say what the company will not do — are worth asking about for the same reason.

An accredited VSO will file, argue and appeal for $0, and VA may already owe you an exam on the same question. If you want your own record read first, ours is a published subscription — Pro is $25/month or $250/year. Max 3× is $49/month or $499/year. Max 5× is $99/month or $999/year. No percentage of back pay, and the same price whether the claim is granted or denied.

16 · Sources

Sources and limitations

What we did not review
  • No private checkout disclosure — we never entered the portal, so we did not see what a checkout actually totals.
  • No customer contract. The only terms published are Payment Terms; there is no service agreement to read.
  • No delivered document. We have not read a nexus letter this company produced.
  • No internal refund data. We cannot say how often a case-by-case partial refund is granted.
  • No audited outcome dataset. The "Over 25,000 Veterans Served" figure is unfootnoted and undated, and no grant rates are published by anyone.
  • We did not read the complaint in MRPY Professional Services LLC v. Telemedica LLC. What it alleges, and how it ends, are unknown to us.
  • Two rows of the nine-task table name the document still needed: no page on the site states whether the company will submit a filing for you, or whether it provides legal advice. The absence is the finding.

Read your own file before you pay anyone to read it for you

A published price, no percentage of anything, cancel whenever. And an accredited VSO will still represent you for $0 — find one near you.

Start free trial