Approvals & Success Stories.

Dominican RepublicHealthcare & Life Sciences149 daysFeb 23, 2026 → Jul 22, 2026RFEElizabeth Mavec

Elizabeth Mavec helped a Dominican physician specializing in pulmonary and critical care medicine secure a green card pathway with an approved EB-2 National Interest Waiver. The petition centered on her endeavor to advance early lung cancer detection through advanced endoscopic procedures and to bring critical care expertise to underserved rural communities, supported by expert recommendation letters, publications, and professional recognition. The case also successfully overcame a Request for Evidence.

NigeriaHealthcare & Life Sciences165 daysFeb 2, 2026 → Jul 17, 2026No RFELahaina Araneta McBeth

Lahaina Araneta helped a Nigerian infectious disease specialist secure permanent residence with an approved adjustment of status package. The client, who had previously worked in the U.S. on an L-1A visa and held a master's degree, built her underlying extraordinary-ability profile on her healthcare expertise, including recognition as a judge of others' work in her field.

Strength of the Case The petition demonstrated that the beneficiary is a distinguished clinical psychologist and leader in the mental health field, recognized for impactful work serving children with developmental and mental health needs. With over a decade of leadership across organizations, the beneficiary has pioneered culturally responsive psychological care in underserved communities, introduced novel trauma-based interventions, and authored influential therapeutic frameworks for clinical implementation. The case was supported by substantial evidence of the beneficiary’s leadership in critical roles, record of original contributions in applied clinical frameworks, authorship of professional publications, media recognition, and receipt of international awards. Independent reference letters from global experts validated the beneficiary’s widespread acclaim and transformative impact in the mental health space.

🇪🇹 EthiopiaHealthcare & Life Sciences110 daysSep 27, 2024 → Jan 15, 2025Rami Lee

How Manifest Made It Happen The client self-petitioned for EB1A and initially received an RFE disputing three of the five argued categories. USCIS accepted judging experience and scholarly authorship but disputed the client’s awards, major contributions, and high salary. Despite USCIS's challenges, a strong response—including nine expert letters attesting to the significance of their research and innovation—successfully demonstrated their impact. With a compelling argument for their influence in biomedicine, the petition was approved despite initial challenges. Our team played a key role in guiding the client through the RFE response process. We advised them on selecting impactful recommenders, identifying credible experts in the field whose voices would carry weight with USCIS. We then drafted and refined nine tailored expert letters that highlighted the client’s unique contributions, groundbreaking innovation, and lasting influence in biomedicine. In addition, we strengthened the overall narrative around their major contributions, ensuring that the technical and practical significance of their work was clearly and convincingly communicated—even to a non-specialist audience.

🇪🇹 EthiopiaHealthcare & Life Sciences37 daysDec 9, 2024 → Jan 15, 2025Rami Lee

How Manifest Made It Happen: The client self-petitioned for EB-1A and initially received an RFE disputing three of the five argued categories. USCIS accepted judging experience and scholarly authorship but disputed the client’s awards, major contributions, and high salary. Despite USCIS's challenges, a strong response—including nine expert letters attesting to the significance of their research and innovation—successfully demonstrated their impact. With a compelling argument for their influence in biomedicine, the petition was approved despite initial challenges. Our team played a key role in guiding the client through the RFE response process. We advised them on selecting impactful recommenders, identifying credible experts in the field whose voices would carry weight with USCIS. We then drafted and refined nine tailored expert letters that highlighted the client’s unique contributions, groundbreaking innovation, and lasting influence in biomedicine. In addition, we strengthened the overall narrative around their major contributions, ensuring that the technical and practical significance of their work was clearly and convincingly communicated—even to a non-specialist audience.