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.
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.
Fax (preferred method) invoice/timesheet monthly for timely processing to:
IMPORTANT: Timely filing limitations require invoices be submitted within 180 days from the date of service.