Medical evidence services · brand review

Trajector Medical review: a fee of five times your monthly increase

The fee agreement a company officer filed with Congress in 2022, worked out in dollars, against two VA warning letters, at least nine Chapter 11 petitions, and 355 BBB complaints.

Sources checked Sep 4, 2026

Operator
Trajector Medical, LLC of Gainesville, Florida — one of the Trajector entities that filed for Chapter 11 on 23 July 2026, one of nine such petitions separately docketed. BBB records the business as started 9/26/2014 and incorporated 2/7/2017.Source: Better Business Bureau — Trajector Medical, LLC profile (Gainesville, FL) · Verified Sep 4, 2026
Model
Medical evidence development. Licensed nurse practitioners and registered nurses review records and produce a report you submit to VA yourself.Source: Trajector Medical — Our Commitment · Verified Sep 4, 2026
Advertised price
Nothing on the website. The 2022 agreement filed with Congress sets the standard fee at five times the amount your monthly VA compensation increases by.Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
Payment plan
Yes, in the 2022 agreement: lump sum within 10 days, or two to five equal monthly payments — with a $15 monthly service charge if they are not taken by automatic payment.Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
VA-accredited

Public sources checked Sep 4, 2026. Terms change; check them before you sign 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.

Trajector Medical's fee is five times the amount your monthly VA compensation increases by. That figure is quotable because the company's own General Counsel attached the Medical Evidence Development Agreement to sworn testimony before the House Committee on Veterans' Affairs on 27 April 2022, which makes the contract a congressional record rather than a leak. On a rating that lifts monthly compensation by $500, the invoice is $2,500. The same testimony frames it as a protection: "Trajector Medical does not charge a fee unless the medical evidence and medical consulting services provided actually result in the Veteran obtaining an increase." The agreement's signature block adds the other half: "You promise to pay us even if this agreement has been canceled prior to you receiving the increase in your VA pay."

The public record around the company is the longest in this set, and its parts are different in kind. VA's Office of General Counsel sent warning letters in June 2017 — when the company was Vet Comp and Pen Medical Consulting — and again in January 2022, the second of which The War Horse describes as a twelve-page letter about the fee structure and staff attorneys, warning the company to "cease all preparation, presentation and prosecution of VA benefit claims". Warning letters are notices, not judgments, and carry no penalty. Six civil dockets naming Trajector entities were filed between April and June 2026. And on 23 July 2026 at least nine Trajector entities filed Chapter 11 petitions in the Middle District of Florida — nine are separately docketed on CourtListener, and we could not establish whether the debtor group is larger — a reorganisation, not a finding that anything was unlawful, and the company says it continues operating.

None of that tells you whether the medical work is good. BBB shows 1,748 reviews averaging 4.42 out of 5, alongside 355 complaints in three years. The company's own compliance page states the boundary accurately: "VA accreditation does not apply to the medical evidence services we provide," and the 2022 agreement has you acknowledge that you can use free services, that Trajector is not accredited, and that you must file your own claim. An accredited VSO will do that filing for $0.

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.
  • We did not contact staff.
  • We could not obtain a current client agreement — the only one we read is the April 2022 version filed with Congress, and the company's website publishes no fee.
  • We did not buy the PACER filings in any of the civil dockets, and we make no claim about what they allege.
  • We did not read the bodies of the 2017 or 2022 VA letters; DocumentCloud serves them only to a browser session.
03 · TL;DR

The short version

04 · The company

What Trajector Medical actually is

05 · Fees

What it costs, from the documents

Every figure below is from the Medical Evidence Development Agreement filed with the House Committee on Veterans' Affairs in April 2022. It is four years old, the company's website publishes no fee today, and we could not obtain a current agreement — so read this as what the contract said then, and ask for the current one in writing.

ItemAmount, from the company's own documents
Standard fee
Military retiree on CRDP, at 50% or above
Appeal claims
Standard fee, plus 10% of the monthly increase × the months between the effective date and the awardSource: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
Clear and Unmistakable Error awards
Convalescence claims
Comprehensive record review (100+ pages)
Independent medical examination
Late payment
Manual instalments (2–5 months, not on auto-pay)
Collection
The current fee scheduleNot published — source required
Needs: the current Medical Evidence Development Agreement — the only version we could read is Enclosure B to April 2022 congressional testimony, and no fee appears on the company's website today
Worked examples
06 · Guarantee

The guarantee, line by line

ProvisionWhat it saysMain limitation
No fee without an increase

"Trajector Medical does not charge a fee unless the medical evidence and medical consulting services provided actually result in the Veteran obtaining an increase in disability rating and corresponding benefits."

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026

As reported: The trigger is the increase, not Trajector's causation of it: the fee is owed "if you receive an increase in your VA pay for a claim using the medical evidence package we provided." The War Horse reports NPR found the company "pursuing veterans for payment even when veterans say the company wasn't responsible for their disability rating increase."

Source: The War Horse — VA sent warning letters to veteran disability benefit companies · Verified Sep 4, 2026
Cancellation

"This agreement may be canceled at any time by either party; the cancelation date will be the date the non-canceling party acknowledges the cancelation request via email or the date on a certified mail delivery receipt."

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026

"You promise to pay us even if this agreement has been canceled prior to you receiving the increase in your VA pay." Cancelling stops future work, not the fee on work already delivered.

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
Outcome

"WE DO NOT guarantee the outcome of your claims," and the compliance page says "We don't overstate or guarantee outcomes."

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026

As reported: Correct and consistent — but paired with a fee that rises with the size of the outcome, which is the structure VA's 2022 letter is reported to have raised.

Source: The War Horse — VA sent warning letters to veteran disability benefit companies · Verified Sep 4, 2026
Late-charge waiver

"if you pay your balance in full within ninety (90) days of the date on your VA claim notification letter, we will waive your monthly service charges."

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026

The 90 days run from VA's letter, not from the invoice or from when retro pay arrives, and the instalment plan runs up to five months — so the plan the agreement offers can outlast the waiver it offers.

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
Confidentiality of the work product

"You are restricted from publishing, reproducing, distributing, or sharing any of our content or processes with any party (other than submitting our medical evidence package to the VA)" without written permission, with liability for breach. Showing it to a second opinion is not on the permitted list.

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
07 · Marketing vs contract

What the sales page says and what the agreement says

The sales page says

"We complement the work of accredited representatives and ensure Veterans have complete and credible medical evidence before submitting their applications."

Source: Trajector Medical — Our Commitment · Verified Sep 4, 2026
The contract says

As reported: VA's January 2022 letter told the company to "cease all preparation, presentation and prosecution of VA benefit claims". To VA's first letter the company answered that "they prepare the person —not the claim"; VA replied, "This is a distinction without a difference."

Source: The War Horse — VA sent warning letters to veteran disability benefit companies · Verified Sep 4, 2026
The sales page says

"In July 2026, Trajector voluntarily filed for Chapter 11 financial restructuring to strengthen our long-term financial position … Trajector continues operating as usual."

Source: Trajector Medical — Our Commitment · Verified Sep 4, 2026
The contract says

The docket shows at least nine separate Chapter 11 petitions filed the same day — Trajector Holdings, Trajector Medical, Trajector Admin Services, Trajector Media Services, Trajector Disability, Trajector Inc., Benefits Group Holdings, Benefits Karma and Globaltek BPO — all before one judge, with the United States Trustee a party to each.

Source: CourtListener — full-text docket search for "Trajector", all courts, newest first · Verified Sep 4, 2026
The sales page says

"We don't overstate or guarantee outcomes … We always act within the scope of medical licensure and federal regulations," and no fee appears anywhere on the website.

Source: Trajector Medical — Our Commitment · Verified Sep 4, 2026
The contract says

The only fee schedule a veteran can read outside a sales call is the 2022 agreement filed with Congress: five times the monthly increase, ten to twenty-five per cent supplements on appeals and CUE awards, a $250 record-review fee, 1% monthly on late balances, and collection costs.

Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
08 · Accreditation

What Trajector Medical can and cannot do for you

TaskTrajector Medical's public terms
Explain general VA concepts or provide educational tools
YesSource: Trajector Medical — Our Commitment · Verified Sep 4, 2026
Generate drafts and organize information
YesSource: Trajector Medical — Our Commitment · Verified Sep 4, 2026
Provide support after a denial
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
NoSource: Trajector Medical — Our Commitment · Verified Sep 4, 2026
Provide legal advice
Provide medical care or arrange a medical opinion
YesSource: Trajector Medical — Our Commitment · Verified Sep 4, 2026
09 · Privacy

Your records: who holds them, for how long

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 have no money to advance and cannot pay for evidence up front. This is the only fee model in this category that bills nothing until a rating increase arrives.
  • You want a large, long-running operation with clinical staff on payroll rather than a referral network — the company reported 1,200+ full-time employees to Congress in 2022.
  • You are comfortable with a fee that scales with your award, and you have run the multiplication for your own likely increase before signing.
  • You want to read the contract before the call. Uniquely in this category, a version of it is a public congressional record — just confirm it against the current one.
Choose another route if
  • You are a military retiree receiving CRDP. The 2022 clause charges five times your total monthly compensation counted from zero, not five times the increase, which doubled the invoice in the agreement's own example.
  • Your claim is an appeal or a CUE argument. The supplements are 10% and 25% of the increase per month of elapsed time, and those months add up faster than the standard fee.
  • You may change your mind. The fee survives cancellation if the increase comes from a claim using their evidence package.
  • The regulatory record matters to you: two VA warning letters, six civil dockets filed in 2026, and at least nine Chapter 11 petitions in July 2026.
  • You want representation. Trajector says itself that VA accreditation does not apply to it; an accredited VSO will file and appeal for $0.
13 · Comparison

Trajector Medical, an accredited VSO, and VeteranAI

Trajector MedicalAccredited VSO · $0VeteranAI
What it is
A medical evidence development company. Nurse practitioners and registered nurses review records and produce reports the veteran submits to VA.Source: Trajector Medical — Our Commitment · Verified Sep 4, 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
Five times the amount your monthly VA compensation increases by, invoiced after approval, per the 2022 agreement filed with Congress. Supplements of 10–25% apply to appeals, CUE and convalescence awards.Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 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
Tied to your benefits, yes — the fee is a multiple of your monthly increase, and retro pay is what the agreement expects you to pay it from.Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
No.No. The same price whether the claim is granted or denied.
Cancel
Either party may cancel at any time, but "You promise to pay us even if this agreement has been canceled prior to you receiving the increase in your VA pay."Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 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. The agreement has you acknowledge "they are responsible for filling out VA forms" and "they must file their own disability claims."Source: U.S. House Committee on Veterans' Affairs — statement of Evan Seamone, General Counsel, Trajector Medical, 27 April 2022, with the Medical Evidence Development Agreement attached as Enclosure B · Verified Sep 4, 2026
Yes. Your representative of record.No. You file, or your accredited representative does.
VA-accredited
No, and the company states it: "VA accreditation does not apply to the medical evidence services we provide."Source: Trajector Medical — Our Commitment · Verified Sep 4, 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
A medical evidence report from licensed nurse practitioners and registered nurses, produced for you to submit.Source: Trajector Medical — Our Commitment · Verified Sep 4, 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
Two VA warning letters (June 2017, January 2022), six civil dockets filed April–June 2026, and at least nine Chapter 11 petitions filed 23 July 2026.Source: CourtListener — full-text docket search for "Trajector", all courts, newest first · Verified Sep 4, 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

11 questions to ask before paying

Bring these to the call
  1. Send me your current fee agreement in writing before any call. Is the standard fee still five times my monthly increase?
  2. Work my invoice out in dollars on the increase you think I will get, and show me the arithmetic.
  3. I am a military retiree on CRDP. Does your fee apply to my increase or to my total monthly compensation counted from zero?
  4. If my claim is an appeal, what does the 10% per-month supplement add on my timeline? What about a CUE award at 25%?
  5. If I cancel, what do I still owe, and under what circumstances?
  6. If VA increases my rating for a reason unrelated to your evidence, do you still invoice me? What proof of causation do you require?
  7. You are in Chapter 11. Who is my counterparty, what happens to my case if the plan changes, and is my fee obligation being sold to anyone?
  8. VA's Office of General Counsel wrote to you in 2017 and 2022. What did the 2022 letter say about your fee structure, and what did you change?
  9. What exactly am I authorising when I let you monitor my benefit status and access VA systems with my information?
  10. Can I show your report to another clinician or advocate for a second opinion, or does the confidentiality clause forbid that?
  11. Have you told me, unprompted, that an accredited VSO will file and appeal my claim for $0?
15 · Bottom line

Where this leaves you

Trajector produces something VeteranAI does not: a clinical evidence report built by licensed nurse practitioners and registered nurses, at no cost up front. For a veteran with no money to advance, that structure is genuinely the point, and it is the only company in this category we have reviewed that carries the cost until an award arrives.

What you are paying for that is a fee measured against your benefit rather than against the work: five times your monthly increase, plus 10% or 25% per elapsed month on appeals and CUE awards, plus a CRDP clause that in the agreement's own example doubled a retiree's invoice by counting from zero. Do that multiplication before you sign, on your own likely numbers, and get the current agreement in writing — the one we could read is a 2022 congressional exhibit and the website publishes no fee at all.

Then price the free path against it. An accredited VSO will file, argue and appeal for $0, and VA may already owe you a C&P exam. 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, no multiple of your increase, and the same price whether the claim is granted or denied.

16 · Sources

Sources and limitations

What we did not review
  • The fee agreement we read is dated April 2022 and was filed with Congress. We could not obtain a current one, and the website publishes no fee, so the terms may have changed.
  • No private checkout disclosure — we never signed up, so we did not see a current invoice or agreement.
  • No delivered document. We have not read a medical evidence report this company produced.
  • We did not read the complaints in any of the six civil dockets. What they allege, and how they end, are unknown to us; a filed complaint is allegations until a court rules.
  • We did not read the bodies of the 2017 or 2022 VA letters. DocumentCloud serves them only to a browser session, so the quotations come from The War Horse's reporting on them.
  • We did not read the Chapter 11 filings beyond the docket captions, and we make no claim about the plan, the creditors, or what it means for existing clients.
  • We could not establish how many entities are debtors. Nine petitions are separately docketed on CourtListener and are listed above; the debtor group may be larger, and we did not verify whether it is. The court-appointed claims agent publishes the debtor schedule, but its site did not present a valid certificate to our checker and serves the schedule client-side, so we have not cited it. Do not read the nine as a verified total.
  • No internal refund data and no audited outcome dataset.
  • We did not read the individual BBB complaints and make no claim about what they allege.

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.

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