Where should a Notice of Disagreement with a denial of fee basis authorization be sent?

The Notice of Disagreement (NOD) is a formal statement used by veterans to express disagreement with a decision made by the Department of Veterans Affairs (VA). In the context of a denial of fee basis authorization, it is important for the NOD to be directed to the correct entity that holds jurisdiction over the case in question.

Sending the NOD to the VA Medical Center that has jurisdiction over the veteran's area of residence is essential because this facility is responsible for handling matters related to fee basis care. The VA Medical Center is the direct point of contact for the veteran's healthcare arrangements and is equipped to process disagreements related to fee basis authorizations.

The other entities mentioned in the choices, while they play important roles in the veterans’ claims process, would not be the correct recipients of a Notice of Disagreement specifically concerning fee basis decision denials. The Regional Office primarily deals with claims for benefits such as disability compensation and pensions, and the Board of Veterans' Appeals would typically only be involved once a decision has been made by the Regional Office or Medical Center that the veteran seeks to appeal further. Therefore, directing the NOD to the VA Medical Center is the most appropriate action to take in this situation.