Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

VHA Office of Community Care

Menu
Menu

Quick Links

Veterans Crisis Line Badge
My healthevet badge
EBenefits Badge
 

Provider Toolkit

Hot Topics | Connect with Us | How to Become a Provider | Claims 

Connect with Us

  • Our Contact Us page contains addresses and phone numbers for the VHA Office of Community Care (VHA CC) health care benefits programs.
  • Providers may send questions and feedback to HACProviderFeedback@va.gov
  • For information on authorization/claims paid by VA, contact your local VA Office. If you need assistance in determining your local office, or for immediate general information, use the VA Facility Locator.
  • Stay up to date with VA Community Care by subscribing to our email distribution list. Send an email to LISTSERV@LISTSERV.VA.GOV with the subject line "SUBSCRIBE COMMUNITYPROVIDERS-L” along with your name in the body of the email.
  • You can also visit the VA Public ListServ for more information about electronic newsletters, discussion groups and direct email lists.

Back to top

How to Become a Provider


Developing, Submitting and Checking Claims Status

For the PC3/Choice programs administered by VA contractors (Health Net and TriWest), claims are submitted to and paid by the contactors. You can find specific instructions and contact information on their websites:

For programs that file claims directly with VA, instructions and helpful information are listed below:

  • Billing Fact Sheet for VA Community Care Programs
    A tool to help community providers deliver care through the Veterans Choice Program (VCP), VCP Provider Agreements, Patient-Centered Community Care (PC3), or traditional VA Community Care to submit claims and get paid faster.
  • How to File a Claim–Instructions for Providers
    Details about the information and documentation needed when filing paper claims, including helpful claim-filing hints. You will also find information for CHAMPVA claims filing and authorization requirements.
  • Electronic Claims Information
    Contains information about ICD-10, VHA Office of Community Care's National Provider Identifier (NPI) requirements, electronic pharmacy claims and how to register and/or submit an EDI claim to your local VA health care facility.
  • Claims Payment Information
    Instructions for customers who would like to apply for payment via Electronic Funds Transfer (EFT), information on file changes and updates for current EFT vendors as well as requirements for electronic payments for non-VA community providers.
  • Rejected Claims–Explanation of Codes
    A list of the top 10 reasons claims are rejected/denied along with additional explanations for the rejections and what a beneficiary/provider needs to do to get the claim processed correctly.