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File a Bowel and Bladder Claim

The information below is for individual bowel and bladder providers only.
NOTE: If you are an agency bowel and bladder provider filing a claim, please refer to the link below for payment of authorized services.

File a Claim for Veteran Care

Claims Submissions

Individual bowel and bladder providers who have rendered services as part of a VA-issued bowel and bladder referral are encouraged to use the Request for Payment of Bowel and Bladder Services Invoice/Timesheet, VA Form 10-314, when submitting a request for payment to VA. Providers are required to complete all fields on VA form 10-314. The Veteran Integrated Control Number (ICN) and the referral number can be found on the Approved Referral for Medical Care, VA Form 10-7080, issued by the referring VA medical center.

VA Form 10-314

Fax (preferred method) invoice/timesheet monthly for timely processing to:

833-748-0256

Providers unable to fax invoice/timesheet may mail it to:

Regional Payment Center 10N20
B&B Claims Processing
1601 E Fourth Plain Blvd
Vancouver, WA 98661

IMPORTANT: Timely filing limitations require invoices be submitted within 180 days from the date of service.

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Customer Call Center: 877-881-7618
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