VHA Office of Community Care
Claims Payment–Information for Providers
You are a valued provider for the VHA Office of Community Care (OCC) and the programs we service at Station 741 in Denver, Colorado. We want to be sure that we are sending you accurate and timely reimbursements for the services that you provide to our beneficiaries. It is important that we have your most accurate and current information to make this possible.
Electronic Funds Transfer (EFT) signup and update
EFT Signup Information
If you would like to apply for payment via EFT, complete the "Payee/Vendor Information" and "EFT/ACH" sections of Form VA 10091, VA-FSC Vendor File Request form. A copy of this formed can be obtained from the Vendor Support Section at email@example.com or by calling 877-353-9791. Fax the signed, completed form to 512-460-5221.
You, the enrolling health care provider, will need to contact your financial institution to arrange for the delivery of the CORE-required Minimum CCD+ Data Elements necessary for successful reassociation of the EFT payment with the ERA remittance advice.
For questions on EFT enrollment, please contact the Vendor Support Section by emailing firstname.lastname@example.org or by calling 877-353-9791.
If you are currently enrolled in or receiving EFT payments from any federal program (Medicare, Medicaid, Tricare, etc), please read the section below.
File Changes and Updates for EFT Vendors
Health care providers already receiving EFT payments from the federal government can submit file changes/updates by selecting the box marked "Update" on VA Form 10091. You can obtain a copy of the current VA Form 10091 and instructions for completing the form by emailing email@example.com. Complete Form VA 10091 with the desired updates, and fax the completed, signed form to Financial Service Center Nationwide Vendor File Fax: 512-460-5221.
To cancel EFT enrollment or for questions regarding updates to EFT information on file, please contact the Vendor Support Section by emailing firstname.lastname@example.org or by calling 877-353-9791.
Electronic Payments for Non-VA Medical Care Providers
The U.S. Department of Treasury published a final rule on Electronic Funds Transfer (31 C.F.R. 208) on Dec. 21, 2010. This rule requires that all federal payments be made electronically. This requirement includes payments made to non-VA medical and dental providers. Non-VA medical care providers have two options to meet this requirement.
First, you can choose to receive payment by Electronic Funds Transfer (EFT). Refer to the EFT information above for details on how to enroll. Please note, converting from paper checks to EFT will reduce payment processing times. You can call the VA Financial Services Center at 512-460-5049 for more information.
A second option is the VA SmartPay Purchased Care Card Program. You can read more about that program below:
VA SmartPay Purchased Care Card Program
The VA SmartPay Purchased Care Card Program offers rapid electronic claims payments for non-VA medical care vendors. The VA will pay your non-VA medical care claims using their SmartPay Purchase Card. These payments will be made electronically to your bank account. You can track and manage your non-VA medical care payments using your Internet browser. To access your new account, click on the following link and follow the instructions to login or create a new account: https://www.vahcps.fsc.va.gov/Login.aspx.
Vendor Inquiry System (VIS)
Community providers may register to receive special user log-on access for VIS to view VA Treasury payment information, and find specialized training on the VIS Login page at https://www.vis.fsc.va.gov/DesktopDefault.aspx. You can also learn about VIS from the Vendor Inquiry System Fact Sheet.
Our Rejected Claims page contains a list of the top 10 reasons claims are rejected/denied along with additional explanations for the rejection codes and what a beneficiary/provider needs to do to get the claim processed correctly.
Please visit Provider Resources for more information and tools regarding how to conduct business with the VHA Office of Community Care and the programs it administers.