Court Opinion

ID: 4308187
Source: CourtListenerOpinion
Date Created: 2018-08-29 14:01:24.512532+00
Date Added: 2024-06-11T14:42:41.438775
License: Public Domain

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

                                                     No. 16-0338

                                        DONALD E. ZEGLIN, APPELLANT,

                                                           V.

                                          ROBERT L. WILKIE,
                               SECRETARY OF VETERANS AFFAIRS, APPELLEE.

                              On Appeal from the Board of Veterans' Appeals

                                           (Decided August 28, 2018)

         Donald E. Zeglin, pro se.

       Meghan Flanz, Interim General Counsel; Mary Ann Flynn, Chief Counsel; Selket N. Cottle,
Deputy Chief Counsel; and Sarah W. Fusina, all of Washington, D.C., were on the brief for the
appellee.1

         Before SCHOELEN, BARTLEY, and TOTH, Judges.
         BARTLEY, Judge, filed the opinion of the Court. TOTH, Judge, filed a concurring
opinion.
         BARTLEY, Judge: Self-represented veteran Donald E. Zeglin appeals a May 29, 2015,
Board of Veterans' Appeals (Board) decision that found proper the incurrence of a VA copayment
debt for medication filled at a VA pharmacy between November 2011 and July 2013 for treatment
of non-service-connected conditions. Record (R.) at 3-15.2 This matter was referred to a panel of

         1
          Meghan Flanz was Interim General Counsel for the appellee when his brief was submitted to the Court, but
James M. Byrne has since been appointed General Counsel. In addition, since briefing was completed, Sarah E. Wolf
replaced Sarah W. Fusina as lead representative of record for the appellee.
         2
            The Board remanded the issues of proper accounting as to the debt and whether Mr. Zeglin is entitled to a
waiver of the debt. R. at 13-15. Because this action does not constitute a final decision of the Board subject to judicial
review, the Court does not have jurisdiction to consider these issues at this time. See Howard v. Gober, 220 F.3d 1341,
1344 (Fed. Cir. 2000); Breeden v. Principi, 17 Vet. App. 475, 478 (2004) (per curiam order); 38 C.F.R. § 20.1100(b)
(2018). In response to the Court's October 5, 2017, order, the Secretary informed the Court that the remanded claims
are still pending before VA. Secretary's November 9, 2017, Response at 3-4; see Supplemental R. at 293-95, 297-303,
305-13. In addition, the Board referred to the agency of original jurisdiction (AOJ) for appropriate action the issue of
whether VA improperly recouped the debt by offsetting Mr. Zeglin's disability compensation benefits. R. at 4. The
Court has jurisdiction to review a referred issue only to the extent that the appellant argues that remand, rather than
referral, was appropriate. See Young v. Shinseki, 25 Vet. App. 201, 202-03 (2012) (en banc order). Because Mr. Zeglin
has not challenged the propriety of the Board's referral, the Court will not address the referred issue. See Link v. West,
12 Vet. App. 39, 47 (1998) ("Claims that have been referred by the Board to the [AOJ] are not ripe for review by the
Court.").
the Court to address two issues relating to veterans health care: (1) VA's authority to verify that
reimbursement it receives from a veteran's private health insurance carrier is comparable to the
private health insurance carrier's reimbursements paid to non-federal health care entities; and
(2) VA's policy to offset a veteran's medication copayment responsibility by the reimbursement it
receives from the veteran's private health insurance carrier.
         On March 6, 2018, a panel of this Court issued a decision that affirmed the May 29, 2015,
Board decision. On March 20, 2018, Mr. Zeglin filed a motion for reconsideration or, in the
alternative, a motion for full Court review pursuant to Rule 35 of the Court's Rules of Practice and
Procedure. In a May 4, 2018, order, the panel, inter alia, granted the motion for reconsideration
and withdrew its March 6, 2018, decision, indicating that a new decision would be issued after
receiving additional responses from both parties.3 For the reasons that follow, the Court will affirm
the May 29, 2015, Board decision.

                                                     I. FACTS
         Mr. Zeglin served on active duty in the U.S. Army from September 1969 to September
1971. R. at 135.
         In September 2010, Mr. Zeglin applied for VA health benefits. R. at 317-18. At that time,
he indicated that he did not wish to provide financial information and, therefore, he "agree[d] to
pay applicable VA copayments." R. at 317. In October 2010, VA informed him that, because he
did not disclose income information, he would be required to pay an $8 copayment for each 30-
day supply of medication provided by a VA pharmacy for treatment of non-service-connected
conditions. R. at 319.
         Beginning in November 2011, VA notified Mr. Zeglin that he had accrued an outstanding
balance due to unpaid medication copayments and requested payment to satisfy the outstanding
charges. R. at 358-59; see R. at 360-71, 461, 494 (similar billing statements dated between January
2012 and July 2013). In response, Mr. Zeglin sent correspondence to a VA medical center (VAMC)
stating that he "dispute[d] the correctness of all debts and charges listed on the [November 2011]

         3
          The Court's May 4, 2018, order requested that the Secretary respond to the motion for reconsideration within
21 days and provided Mr. Zeglin a period of 14 days within which to respond to the Secretary's response, if he desired.
Both parties filed timely responses.

                                                          2
Statement." R. at 405. He sent similar correspondences to the VAMC following subsequent billing
statements. R. at 406-21, 446-47.
        In November 2012, Mr. Zeglin was informed by the Mid-Atlantic Consolidated Patient
Account Center (MACPAC) that he could request waiver of the existing pharmacy copayment
debt if the debt were no older than 180 days. R. at 457-59. He formally requested waiver in
February 2013, R. at 444-45, which was denied by the Committee on Waivers and Compromises
(COWC) because he did not complete a financial status report, R. at 439-40.
        In March 2013, Mr. Zeglin sent correspondence to the MACPAC indicating that he wanted
to appeal both the incurrence of the debt and the denial of waiver of the incurred debt. R. at 426-
33. In April 2013, COWC again denied his waiver request for failure to complete a financial status
report. R. at 423-24. In June 2013, he was afforded a hearing before the Director of MACPAC. R.
at 438. A Statement of the Case was issued in June 2013, R. at 401-02, and Mr. Zeglin perfected
an appeal to the Board in October 2013, R. at 377. An addendum Statement of the Case was issued
in May 2014. R. at 455-56. In August 2014, Mr. Zeglin provided testimony at a Board hearing. R.
at 277-91.
        In the May 2015 decision on appeal, the Board found that VA properly charged Mr. Zeglin
an $8 copayment for each 30-day or less supply of medication for his non-service-connected
conditions and that he was responsible for such payment. R. at 11-13. In the same decision, the
Board remanded the issues of the proper calculation of the incurred debt and whether he was
entitled to waiver.4 R. at 13-14. This appeal followed.

                                                II. ANALYSIS
        The crux of this appeal centers around charges billed by VA arising from the provision of
outpatient medications and how these different charges are related. The two charges at issue are:
(1) a copayment charge VA billed as the health care provider (second party) to the veteran as the
health care recipient (first party), and (2) a service charge VA (second party) billed to the veteran's
private health insurance carrier (third party). As this case involves an area of veterans benefits not

        4
           At various points in the May 2015 decision, including on the caption page, the Board incorrectly
characterizes the remanded issues as involving an overpayment. R. at 3-4, 13-14. This mischaracterization appears to
be a typographical error as it is not disputed that this case involves a debt incurred by Mr. Zeglin, not excess
remuneration paid to him.

                                                         3
previously discussed in detail in precedent case law, the Court finds it necessary to sufficiently
outline these two charges and their relationship prior to discussing the parties' nuanced arguments.
                                   A. Background Information
                                    1. Medication Copayments
       A veteran is required to pay VA a copayment for each 30-day or less supply of medication
VA provides on an outpatient basis for the treatment of a non-service-connected condition, unless
otherwise exempted. 38 U.S.C. § 1722A(a); 38 C.F.R. § 17.110(b)(1) (2018); see Heino v.
Shinseki, 683 F.3d 1372, 1375-77 (Fed. Cir. 2012). In 1990, Congress initially fixed the
copayment charge at $2 per medication. Omnibus Budget Reconciliation Act of 1990, Pub. L. No.
101-508, § 8012, 104 Stat. 1338 (1990) (codified as 38 C.F.R. § 622A (1990)); 38 U.S.C.
§ 1722A(a) (1988, Supp. 1991).
       In 1999, Congress gave the Secretary the authority to increase the medication copayment
amount and to establish maximum (monthly and annual) medication copayment amounts for each
veteran. Veterans Millennium Health Care and Benefits Act, Pub. L. No. 106-117, § 201, 113 Stat.
1545 (1999) (codified at 38 U.S.C. § 1722A(b) (1994, Supp. 1999)). In February 2002, VA
promulgated a regulation increasing the medication copayment from $2 to $7 and established
maximum amounts for veterans enrolled in priority categories 2 through 6 of VA's health care
system. 38 C.F.R. § 17.110 (2002); 66 Fed. Reg. 63449 (Dec. 6, 2001); see 38 C.F.R. § 17.36
(2018) (establishing priority groups for access to health care services based on certain factors,
including combined schedular evaluation and income). In January 2006, the Secretary increased
the medication copayment to $8, 70 Fed. Reg. 72326 (Dec. 2, 2005), and in June 2010 increased
the copayment to $9 for veterans in priority groups 7 and 8, 75 Fed. Reg. 32670 (Jun. 9, 2010). In
February 2017, VA restructured its medication copayment framework and implemented a tiered
system for medication copayments, where the amount of a veteran's copayment charge (either $5,
$8, or $11) depends on the type of medication provided by VA, not on the priority category of the
veteran. 38 C.F.R. § 17.110 (2018); 81 Fed. Reg. 89383 (Dec. 12, 2016).
                2. VA Service Charge to Private Health Insurance Carrier for the
                               Provision of a Veteran's Medication
       When VA furnishes medical care or services to a veteran for a non-service-connected
condition, including providing medications on an outpatient basis, VA may seek reimbursement
of reasonable charges for such care or services from the veteran's private health insurance carrier.

                                                 4
38 U.S.C. § 1729(a)(1). Reasonable charges VA seeks to recover from the third party "may not
exceed the amount that such third party demonstrates to the satisfaction of the Secretary it would
pay for the care or services if provided by [a non-federal entity] in the same geographic area."
38 U.S.C. § 1729(c)(2)(B); see 38 C.F.R. § 17.101(a)(4) (2018). Third-party payors may pay
either (1) the charge billed by VA or (2) an amount that it demonstrates it would pay a non-federal
entity for providing the same service in the same geographic area. 38 C.F.R. § 17.101(a)(4). If the
third-party payor pays an amount less than the amount billed, VA will accept it as sufficient
payment, subject to verification at VA's discretion. Id. If VA accepts as sufficient an amount less
than that billed, the service charge is considered fully satisfied. In that case, the veteran is not
responsible for any remaining portion of the service charge, but will still owe the copayment
charge. See, e.g., Veterans Health Administrative (VHA) Directive 2012-005, 4c (issued January
23, 2012; expired January 31, 2017; rescinded May 18, 2017). If VA accepts an amount less than
that billed, it may request that the third-party payor submit evidence to substantiate the
appropriateness of the payment amount, including health plan or insurance policy documents,
provider agreements, medical evidence, or proof of payment to other providers in the same
geographic area for the same services. Id.
       Previously, VA billed private health insurance carriers a flat rate of $51 for each
prescription dispensed for a non-service-connected condition regardless of the length of supply
(30, 60, or 90 days). 74 Fed. Reg. 32819, 32820 (Jul. 9, 2009); 75 Fed. Reg. 61621 (Oct. 6, 2010);
see 38 C.F.R. § 17.101(m) (2010); 38 C.F.R. § 17.102(h) (2010). VA based this flat rate on (1) the
national average of VA's drug costs for all prescriptions, and (2) the national average of VA's
administrative costs associated with furnishing medications, including general overhead costs,
such as buildings and maintenance, and dispensing costs, such as labor, packaging, and mailing.
74 Fed. Reg. at 32820; 75 Fed. Reg. at 61622.
       In March 2011, VA changed its billing practices to more accurately reflect the actual cost
of providing each medication. See 74 Fed. Reg. 32819; 75 Fed. Reg. 61621. VA now bills private
health insurance carriers a variable rate based on (1) the "actual amount expended by the VA
facility for the purchase of the specific drug," and (2) the national average of VA's administrative
costs associated with furnishing medications. 38 C.F.R. § 17.101(m).5

       5
           The administrative cost component is determined annually based on the average administrative cost for the

                                                         5
                                              3. VA's Offset Policy
         VA applies any reimbursement it receives from a veteran's private health insurance carrier
for VA's service charge, on a dollar-for-dollar basis, to offset a veteran's copayment responsibility.
If VA receives reimbursement from the insurance carrier that is equal to or more than a veteran's
copayment charge, then the veteran's copayment responsibility is satisfied in full. See VHA
Directive 2012-0056; see also VHA Directive 2006-040 (issued June 27, 2006; expired
June 30, 2011); Secretary's November 9, 2017, Response Appendix B.
         For example, if VA bills the veteran's private health insurance carrier a service charge of
$15 for administering a prescription, and VA receives reimbursement from the insurance carrier
in the amount of $10, VA may accept that reimbursement as sufficient payment for the service
charge. 38 C.F.R. § 17.101(a)(4). Applying the offset policy, if the veteran's copayment is $9, then
the $10 reimbursement from the private health insurance carrier for VA's service charge would
fully satisfy the veteran's $9 copayment responsibility. See VHA Directive 2012-005, Example 4;
Secretary's November 9, 2017, Response Appendix B. Each provision of services is treated
independently; therefore, any excess reimbursement received for the provision of one medication
is not credited toward the veteran's copayment responsibility for another medication or provision
of other medical care or services. See VHA Directive 2012-005, Example 4.

prior fiscal year. 38 C.F.R. § 17.101(m). The total VA national general overhead costs are added to the total VA
national drug dispensing costs; that sum is divided by the total number of VA prescriptions filled annually. Id. For
calendar year 2009 (based on fiscal year 2008), the administrative cost component was $11.17. 74 Fed. Reg. at 32820.
For calendar year 2012 (based on fiscal year 2011), the administrative cost component was $12.39. Heino, 683 F.3d
at 1380. For calendar year 2018 (based on fiscal year 2017), the administrative cost component is $16.64. 82 Fed.
Reg. 59213 (Dec. 14, 2017).
         6
           Although VHA Directive 2012-005 was rescinded in May 2017, it was in effect for almost the entirety of
the time period relevant to this appeal. Moreover, attached to the Secretary's November 2017 response is a declaration
from the Deputy Chief Counsel with the Collections National Practice Group, Office of General Counsel, in which
she averred that VA's policy remains to offset on a dollar-for-dollar basis and that VHA Directive 2012-005 was
rescinded because the offset policy was included in the Consolidated Patient Account Center Policy Guide. Secretary's
November 9, 2017, Response Appendix C; see id. at Appendix B (VHA Procedure Guide 1601C.04, Chapter 3,
Section C.8). Moreover, the Deputy Chief Counsel averred that VHA has applied an offset policy pursuant to 1990
and 1996 Office of General Counsel opinions and, although neither opinion specifically mentions a dollar-for-dollar
policy, VHA decided to implement a dollar-for-dollar policy "for ease of implementation and administration."
Secretary's November 9, 2017, Response Appendix C; see VA Gen. Coun. Prec. Op. 13-1990 (May 2, 1990); VA
Gen. Coun. Prec. Op. 3-1996 (May 23, 1996). Concerning the above, the Court notes that it is not relying on such
evidence to reach its holding that the Court lacks jurisdiction to review VA's verification of third-party
reimbursements. See Kyhn v. Shinseki, 716 F.3d 572, 578 (Fed. Cir. 2013) (noting that the Court is prohibited from
considering evidence not in the record before the Board).

                                                          6
        If, however, VA receives reimbursement from the private health insurance carrier for VA's
service charge that is less than the veteran's copayment, the veteran is responsible for the
copayment charge balance. See VHA Directive 2012-005; Secretary's November 9, 2017,
Response Appendix B.
        For example, if VA bills the veteran's private health insurance provider $15 for VA's
service charge, and VA receives $3 in reimbursement, VA may accept that $3 to satisfy the service
charge. 38 C.F.R. § 17.101(a)(4). Applying the offset policy, if the veteran's copayment is $9, the
$3 reimbursement from the private health insurance carrier is applied to offset the veteran's $9
copayment, and the veteran would be responsible for the remaining $6. See id. As mentioned
above, the veteran is not responsible for any portion of the service charge billed to the private
health insurance carrier.
                                        B. May 2015 Board Decision
        In its decision, the Board found that VA properly charged Mr. Zeglin a copayment charge
of $8 for each medication VA provided on an outpatient basis for his non-service-connected
conditions. R. at 11-12. The Board noted that, although 38 C.F.R. § 17.110(c) provides exemptions
from copayment responsibility, Mr. Zeglin did not allege and the evidence did not otherwise
demonstrate that he fell into one of the exempt categories. Id. The Board, therefore, found that Mr.
Zeglin was responsible for paying the $8 copayment per medication provided as treatment for his
non-service-connected conditions. R. at 12.7
        In addressing several of Mr. Zeglin's arguments, the Board noted that the incurred debt
appeared to have arisen due to the March 2011 change in the service charge VA bills to private
health insurance carriers. R. at 6. The Board noted Mr. Zeglin's contention that, due to the March
2011 change in VA billing practices, the amount remitted by his private health insurance carrier,
Blue Cross Blue Shield of South Carolina, no longer satisfied his copayment responsibility, so VA
charged him the excess. R. at 7; see R. at 279-80. However, the Board stated that "in a vacuum,
the amount that is billed by VA to the [third-party payor] does not affect the amount that [Mr.
Zeglin] himself must pay for his prescriptions." R. at 11.

        7
           Although not discussed by the Board, it is undisputed that Mr. Zeglin is a service-connected veteran
assigned to priority group 3. R. at 348, 424, 440. Therefore, throughout the entire relevant time period, the correct
copayment charge was $8. See 70 Fed. Reg. 72326; 75 Fed. Reg. 32670. Neither party argues that the $8 charge was
not the correct copayment amount.

                                                         7
        The Board also noted Mr. Zeglin's argument that VA should contact his private health
insurance carrier to determine whether the amount it had reimbursed for his medications is
comparable to its reimbursement to non-federal entities for the same medications in the same
geographic area. R. at 12. However, the Board found that "§ 17.101(a)(4) does not provide VA the
authority to do so." R. at 12. Instead, the Board found that § 17.101(a)(4) "places the burden on
the private insurance company to demonstrate that the charges . . . are excessive." R. at 11.
        In addressing Mr. Zeglin's arguments, the Board also discussed VA's offset policy. The
Board noted that VA policy "is that '[r]reimbursements received from insurance carriers will be
used to offset or eliminate [a veteran's] copayment on a dollar-for-dollar basis.'" R. at 12 (citing a
VA pamphlet entitled "Facts You Should Know About Medication Copayments"8). The Board did
not specifically discuss how the third-party reimbursement payments are applied, but implied that
a veteran's copayment responsibility is only offset if the reimbursement received by VA exceeds
the service charge VA billed to the third-party payor. Specifically, the Board noted that, following
the March 2011 change in how VA's charge to the third-party payors is calculated, the third party's
"reimbursement to VA was no longer enough to cover the required copayment." R. at 12. The
Board further stated that § 17.101(a)(4) provides a ceiling amount that has been negotiated
between VA and the third-party payor and that the "negotiated amount is not intended to cover
[Mr. Zeglin's] copayment, and it is not a high enough sum to cover the copayment once the cost to
produce the drugs and the administrative fees have been paid."
                                         C. Arguments and Analysis
        Mr. Zeglin does not contend that VA does not have the authority to charge veterans
copayments for medications or that he is exempt from payment. Appellant's Brief (Br.) at 1.
Instead, he challenges several of the Board's findings regarding VA's offset policy and VA's
authority to verify the appropriateness of the reimbursement from his private health insurance

        8
           The VA pamphlet cited by the Board is not contained in the record of proceedings. The version that appears
to be the one cited by the Board was revised in May 2010 and is available at: https://www.va.gov/healthbenefits/
assets/documents/publications/MedicationCopayBrochure.pdf (last visited August 27, 2018). The Court takes judicial
notice, however, that various versions of this pamphlet have been published by VA over the years. See Information
on Veteran's Health Insurance and Copays at VA (February 2010) (https://www.va.gov/healthbenefits/assets/
documents/publications/HealthInsCopays.pdf); Veteran's Health Insurance and Copayments at VA (April 2015)
(https://www.va.gov/healthbenefits/resources/publications/IB10-77_health_insurance_copays.pdf);           Medication
Copayments: Facts You Should Know (February 2016) (https://www.va.gov/healthbenefits/resources/publications/
IB10-971_medication_copayment_brochure.pdf) (all last visited August 27, 2018); see also Monzingo v. Shinseki,
26 Vet. App. 97, 103-04 (2012) (noting that the Court may take judicial notice of facts not subject to reasonable
dispute). These pamphlets all provide the same language about a "dollar-for-dollar" offset policy.

                                                         8
carrier. Id. at 1-2. In this regard, the Secretary seeks dismissal of the pending appeal, arguing that
Mr. Zeglin's challenges are not with the propriety of the incurred debt, but with the proper
accounting of the debt, an issue that the Board remanded in its May 2015 decision. Secretary's Br.
at 5-6. The Court disagrees.
       Although the two issues are related, the Board made clear findings of fact regarding how
the debt was incurred. The Board found that VA had authority to charge Mr. Zeglin a copayment
for VA medications for his non-service-connected conditions. R. at 11-12. The Board also found
that VA's offset policy, as applied in Mr. Zeglin's case, did not result in sufficient reimbursement
to fully satisfy his copayment responsibility. R. at 12. The Board further found that VA does not
have the authority to verify the appropriateness of the reimbursement it receives from his private
health insurance carrier. Id. In consideration of these findings, the Board found that the debt
incurred by Mr. Zeglin was proper. R. at 13. The Board then remanded the issue of the proper
calculation of the debt for a detailed accounting of the incurred charges. R. at 13 ("Having
established VA's authority to charge the prescription copayment, and having determined
. . . whether the Veteran's private insurance provider should, in fact, be responsible for the
copayment, the Board now turns to the issue[] of [] calculating the amount of the debt itself.").
Despite the Secretary's arguments to the contrary, the Board clearly remanded the issue of
calculating the amount of the debt after it made adverse findings of fact regarding the process of
how the debt was incurred. Therefore, the Court properly will consider Mr. Zeglin's arguments in
the context of a final Board decision and will adjudicate the case on the merits.
                                        1. VA's Offset Policy
       Mr. Zeglin argues that the Board erred in its interpretation of VA's offset policy. He argues
that the Board's interpretation of VA's offset policy—that a veteran's copayment responsibility is
offset only to the extent that third-party reimbursement exceeds the service charge VA bills the
third-party payor—is illogical because § 17.101(a)(4) provides third-party payors the option of
reimbursing VA the lesser of two amounts—the service charge billed by VA or the amount the
third-party payor reimburses non-federal entities for providing the same service in the same
geographic area—such that the third party would never reimburse at a rate that exceeds the service
charge billed by VA. Reply Br. at 10-11. He argues that VA's policy is to apply third-party
reimbursements to offset a veteran's copayment responsibility irrespective of the amount of

                                                  9
reimbursement VA receives or whether it exceeds the service charge VA billed to the third-party
payor. See, e.g., Reply Br. at 9-11.
       Although the Secretary initially espoused the Board's interpretation, Secretary's Br. at 10,
he later retracted his interpretation and now agrees that the Board erred in its discussion of VA's
offset policy, Secretary's November 9, 2017, Response at 5. In a declaration attached to the
Secretary's November 2017 response, the Deputy Chief Counsel with the Collections National
Practice Group, Office of General Counsel, confirmed that VA's policy "is to offset a veteran's
copayment charge dollar-for-dollar with the amount received from a third[-]party insurance
company regardless of whether that amount is less than the amount billed to the third party."
Secretary's November 9, 2017, Response Appendix C (emphasis added).
       Although both parties now agree that the Board erred in its discussion of VA policy, its
error is inconsequential. See 38 U.S.C. § 7261(b)(2) (requiring the Court to "take due account of
the rule of prejudicial error"). Mr. Zeglin acknowledges that VA is applying the reimbursement it
receives from his private health insurance carrier to offset his copayment responsibilities on a
dollar-for-dollar basis, see Reply Br. at 10, and the Board's discussion is not reflective of how
reimbursements were actually applied to his copayment responsibilities. However, he makes no
argument as to how he was harmed by the Board's inaccurate description of VA policy. See
Appellant's Motion for Reconsideration at 7 ("I have never claimed to have suffered such harm,
nor will I do so now. . . . In fact, prior to the Board's totally unexpected and unnecessary
introduction of its distorted view of VA's offset policy into the case, the policy itself was simply
not an issue."). Therefore, the Board's error in this regard is harmless and a remand for the Board
to correct its error would serve no purpose. See Shinseki v. Sanders, 556 U.S. 396, 409 (2009)
(explaining that "the burden of showing that an error is harmful normally falls upon the party
attacking the agency's determination"); Soyini v. Derwinski, 1 Vet. App. 540, 546 (1991) (holding
that strict adherence to the reasons-or-bases requirement is not warranted where it would impose
additional burdens on the Board with no benefit flowing to the veteran); see also Hilkert v. West,
12 Vet. App. 145, 151 (1999) (en banc) (holding that the appellant has the burden of demonstrating
error), aff'd per curiam, 232 F.3d 908 (Fed. Cir. 2000) (table).
                        2. Authority to Verify Third-Party Reimbursements
       The thrust of Mr. Zeglin's arguments is that the Board erred in its finding that VA does not
have the authority to verify that reimbursements it receives from third-party payors are comparable

                                                 10
to that which the third party would pay to a non-federal entity for provision of the same medication.
Appellant's Br. at 19-21. The Court determines that the Board also erred in this regard. Section
1729(c)(2)(B) and § 17.101(a)(4) clearly provide VA authority to request that a third-party payor
demonstrate that the reimbursement is comparable to what it would remit to a non-federal entity
for provision of the same service in the same geographic area. 38 U.S.C. § 1729(c)(2)(B);
38 C.F.R. § 17.101(a)(4). The Secretary does not disagree. Secretary's November 9, 2017,
Response at 6. Mr. Zeglin again fails, however, to demonstrate how the Board's error is prejudicial.
See 38 U.S.C. § 7261(b)(2).
       Although the Board and the Secretary have, at times, misconstrued Mr. Zeglin's arguments,
he has consistently argued that the purported debt resulted from a decrease in reimbursement
payments remitted by his private health insurance carrier following VA's March 2011 change in
its third-party payor billing practice. He further argues that his private health insurance carrier is
remitting reimbursement at an amount less than what VA has billed and VA has failed to ensure
that the reimbursement it received from his private health insurance carrier was comparable to
what the insurance carrier would remit to a non-federal health care provider.
       In various correspondences, Mr. Zeglin seemingly takes discordant views of VA's authority
to verify third-party reimbursements as either mandatory or discretionary. At times, he argues that
VA has a statutory and regulatory duty to verify the appropriateness of reimbursements from third-
party payors and VA's failure to verify those reimbursements is a violation of that duty. Appellant's
Br. at 10 (VA "has a duty to seek evidence and information [regarding the appropriateness of
payment] and cannot avoid that duty by contract and agree to simply accept whatever amount [his
private health insurance carrier] offers."); Appellant's Motion for Reconsideration at 11 (noting
the Secretary's "duty to verify the appropriateness of insurer's reimbursements to VA"); Appellant's
June 7, 2018, Response at 3 (arguing that VA is not "complying with its statutory and regulatory
duty to verify the appropriateness of the amounts [his] private insurer reimbursed VA for [his]
medication").
       To the extent that Mr. Zeglin argues that VA is under a statutory and regulatory obligation
to verify reimbursements rates it receives from third-party payors, the Court disagrees. A "duty"
is a "legal obligation that is owed or due to another and that needs to be satisfied; an obligation for
which somebody else has a corresponding right." BLACK'S LAW DICTIONARY 580 (9th ed. 2009).
In contrast, a "discretionary duty" is "[a] duty that allows a person to exercise judgment and choose

                                                  11
to perform or not perform." Id. at 581. The statutory and regulatory provisions clearly reflect
discretionary authority to verify the appropriateness of third-party reimbursements. 38 U.S.C.
§ 1729(c)(2)(B) (The amount sought to be collected "may not exceed the amount such third party
demonstrates to the satisfaction of the Secretary it would pay for the care or services" as a non-
federal entity in the same geographic area.) (emphasis added); 38 C.F.R. § 17.101(a)(4) ("VA will
accept the submission as payment, subject to verification at VA's discretion.") (emphasis added).
        At other times, Mr. Zeglin properly characterizes VA's authority to verify reimbursement
rates as discretionary and argues that failure to verify those reimbursements is an abuse of
discretion. See, e.g., Appellant's Br. at 19 (noting that "VA may seek verification"); Appellant's
Motion for Reconsideration at 8-11 (characterizing the authority to verify reimbursements as
"discretionary statutory and regulatory duty"). In this vein, Mr. Zeglin argues that "VA has never
sought verification from [his private health insurance carrier] . . . [and] it is this general failure to
exercise its discretionary statutory and regulatory duty to verify that demonstrates the arbitrary and
capricious nature of VA's lack of action." Appellant's Motion for Reconsideration at 8; see
Appellant's Br. at 6; Appellant's June 7, 2018, Response at 3-4. As evidence of VA inaction, he
relies on conversations with VA employees, Appellant's Br. at 5, 10, and that "the Secretary has
never provided a shred of evidence that VA has ever actually attempted to verify the
appropriateness of any insurers' reimbursements," Appellant's June 7, 2018, Response at 3. As a
result, and based on VA's offset policy, he contends that, without any verification of
reimbursement rates, VA has no basis to conclude that the medication co-payment charges are
correct. Appellant's Br. at 22-26; Appellant's Motion for Reconsideration at 11; Appellant's June
7, 2018, Response at 4.
        The Secretary avers that VA maintains a reimbursement contract with Caremark, the
private pharmacy benefit manager associated with Blue Cross and Blue Shield of South Carolina,
and that Caremark remits reimbursement consistent with the terms of that contract. Secretary's
November 9, 2017, Response at 6-7; see Secretary's November 9, 2017, Response Appendix D.
The Secretary further responds that, effective January 1, 2013, VA has an established third-party
payor review process that evaluates reimbursement rates that takes into consideration market
conditions, regional rates, and payment trends. See Secretary's November 9, 2017, Response at 7
and Appendix E; Secretary's May 24, 2018, Response. "[W]hen a third-party health insurance
carrier reimburses VA below a market average, VA initiates a formal rate verification with the

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health insurance carrier," which "requires the health insurance carrier to make available all
provider agreements within the same geographic area, as well as submit historical claims data as
proof of payment to other providers in the same geographic area to verify the appropriate
reimbursement rate." Secretary's November 9, 2017, Response at 7. The Secretary further noted
that, "[a]lthough VA did not have a policy prior to 2013, such a policy is not required as VA's right
to recover or collect reimbursement is based on federal law, which provides VA with discretionary
authority to verify reimbursements from third-party payers." Secretary's May 24, 2018, Response
at 2 (citing 38 U.S.C. § 1729(c)(2)(B) and 38 C.F.R. § 17.101(a)(4)).
       "[T]he Court has no authority to review decisions made by the Secretary which rest entirely
within his discretion." Willis v. Brown, 6 Vet. App. 433, 435-36 (1994); see Malone v. Gober,
10 Vet. App. 539, 544 (1997). If no judicially manageable standards are available for judging how
and when an agency should exercise its discretion, then it is impossible to evaluate agency action
for "abuse of discretion." See Heckler v. Chaney, 470 U.S. 821, 830-33 (1985) (noting that an
agency's decision not to take action is presumptively immune from judicial review, but the
presumption may be rebutted where the statute has provided guidelines for the agency to follow in
exercising its authority); see also Freeman v. Shinseki, 24 Vet. App. 404, 416 (2011) ("[W]hen an
agency has been given discretionary authority, it cannot be compelled to exercise that authority
unless there are sufficient standards to govern when the authority must be exercised." (citing
Chaney, 470 U.S. at 830)). If there are no standards for judicial review, the proper recourse is to
dismiss the case on the merits because the appellant cannot show that the agency's action is
unlawful. See Builders Bank v. Fed. Deposit Ins. Corp., 846 F.3d 272, 274-75 (7th Cir. 2017).
       Where either the statutory or regulatory provision places limitations on such discretionary
authority, however, compliance with such criteria is subject to judicial review. See Friedsam v.
Nicholson, 19 Vet. App. 555, 563 (2006); Malone, 10 Vet. App. at 545 ("Even where a matter is
left to the discretion of the Secretary by statute, the Secretary would still be bound by any
limitations placed upon the exercise of that discretion by regulation, and the Secretary's
compliance with such regulatory criteria is subject to judicial review."). The Court may also review
challenges to policies, interpretative guidance, or directives that relate to how an agency may
exercise its discretionary authority. See, e.g., Chaney, 470 U.S. at 835-36. Judicial review in those
circumstances is guided by whether the Secretary's action is "arbitrary, capricious, an abuse of

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discretion, or otherwise not in accordance with law." 38 U.S.C. § 7261(a)(3)(A); see Friedsam,
19 Vet. App. at 563.
       Neither the wording of the relevant statute nor the implementing regulation places a
limitation on VA's discretionary authority to verify third-party reimbursements. The statute
provides VA a right to recover reasonable charges for the provision of medical care or services,
but also that "[t]he Secretary may compromise, settle, or waive any claim" for reimbursement.
38 U.S.C. § 1729(c)(1). The statute further provides that reasonable charges may not exceed the
amount the third-party payor demonstrates to the satisfaction of the Secretary that it would pay for
the same care or services to a non-federal entity in the same geographic area. 38 U.S.C.
§ 1729(c)(2)(B). The implementing regulation provides that VA has discretion to verify the
appropriateness of the reimbursement amount. 38 C.F.R. § 17.101(4). Although the regulation
specifies what type of evidence VA may request from a third-party payor to properly verify the
payment, there are no instructive standards regarding when and how VA will exercise its
discretion.
       Mr. Zeglin argues that, although the Secretary has averred that a VA policy in verifying
reimbursement rates existed as of January 1, 2013, the absence of a policy prior to that date or any
evidence of VA actually verifying reimbursements rates from his private health insurance carrier
is reflective of VA's abuse of discretion. Appellant's Motion for Reconsideration at 10-11;
Appellant's June 4, 2018, Response at 3-4. The fact that VA had established internal procedures
for verifying reimbursement rates from third-party payors for only a portion of the relevant period
during which Mr. Zeglin incurred copayment charges does not abrogate VA's discretionary
authority to seek verification. The existence of an implemented policy does not necessarily provide
a judicially manageable standard capable of review. See Chaney, 470 U.S. at 836-37. Furthermore,
Mr. Zeglin has not offered argument based on any internal restraints of discretionary authority;
instead, he has simply maintained that VA's purported inaction is clear evidence of an abuse of its
discretion. See, e.g., Appellant's Motion for Reconsideration at 11; Appellant's June 7, 2018,
Response at 2-4.
       Absent any judicially manageable standard in either the statute or regulation, the Court
concludes that VA's authority to seek verification from third-party payors regarding the
appropriateness of reimbursement payments is wholly discretionary and not subject to judicial
review. See Chaney, 470 U.S. at 830-31; Freeman, 24 Vet. App. at 416; see also Norton v. S. Utah

                                                14
Wilderness All., 542 U.S. 55, 63 (2004) (noting that the only agency action that can be compelled
is such action an agency is legally required to perform). The Court emphasizes that our conclusion
regarding VA's discretionary authority in this context is based on a review of the applicable statute
and regulation, not on VA's internal procedures described by the Secretary in several responses in
this case. See Kyhn, 716 F.3d at 578.
       Review of the record confirms Mr. Zeglin's contention that he began consistently accruing
an outstanding debt associated with his medication copayments after VA changed its practice
regarding billing third-party payors in March 2011. See R. at 307-12, 316. Although the Secretary
initially averred that Mr. Zeglin's private health insurance carrier was reimbursing at a rate equal
to what VA billed, Secretary's Br. at 8, he later retracted that statement, Secretary's November 9,
2017, Response at 8. Moreover, it appears from the record that his private health insurance carrier
is remitting less reimbursement to VA than it did prior to the March 2011 billing change for
provision of the same services. See R. at 316.
       The amount of reimbursement VA receives from Mr. Zeglin's private health insurance
carrier has a direct effect on the copayment charge he incurs. Nevertheless, VA has discretion in
whether to seek verification from his private health insurance carrier regarding the appropriateness
of the amount of reimbursement it receives. The decision whether to seek verification from Mr.
Zeglin's private health insurance carrier is not reviewable. Therefore, although the Board erred in
stating that VA lacked authority to verify reimbursement amounts, the Board's error is harmless
because VA's authority is wholly discretionary. See 38 U.S.C. § 7261(b)(2); see also Sanders,
556 U.S. at 409; Hilkert, 12 Vet. App. at 151.
       In sum, Mr. Zeglin agrees with the Board's ultimate conclusion that VA has the authority
to charge him medication copayments for treatment of non-service-connected conditions, which
serves as the primary basis for the incurred debt. Although the Board erred in its discussion
regarding VA's offset policy, Mr. Zeglin acknowledges that VA is applying an offset of his
copayment responsibility on a dollar-for-dollar basis with reimbursement it receives from his
private health insurance carrier. Finally, although the Board erred in finding that VA does not have
the authority to verify the appropriateness of third-party reimbursements, which are used as offsets
of his copayment responsibility, the Board's error in this regard is harmless because VA's authority
to verify third-party reimbursements is wholly discretionary. Accordingly, this matter will be
affirmed.

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                                        III. CONCLUSION
         Upon consideration of the foregoing, the May 29, 2015, Board decision is AFFIRMED.

         TOTH, Judge, concurring: I agree that the Board's error was harmless and join the Court's
opinion in full. I write separately only to note that our reasoning in no way suggests that all actions
or policies related to section 1729 are shielded from review simply because the statute contains
discretionary language. I read our invocation of the non-reviewability doctrine as a narrow, merits-
based (and not jurisdictional) determination that is directed by the nature of Mr. Zeglin's claim of
error.
         Specifically, Mr. Zeglin never actually formulated any claim that, even liberally construed,
amounted to a challenge to any discrete action, policy, or interpretation of law on VA's part. And
although he mentioned policies and used terminology associated with various aspects of
administrative review, his claim of error even on reconsideration never evolved beyond where it
began: as a dispute about debt amounts resulting from VA's failure to take action in his case.
Section 1729 accords VA the discretion whether to take action and so there is no judicially
manageable standard by which we can review its decision not to act.

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