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Reporting And Data

VHA Community Care Provider Resource Center

Latest Update: March 24, 2021
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Reporting Information

Nevada Rural Hospital Partners has created a Veteran Health Administration (VHA) one stop resource center for its member hospitals.  The VHA Community Care Resource Center includes separate sections for TriWest, TRICARE West, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and Defense Enrollment Eligibility Reporting System (DEERS).

Contact Information

Sign up for the Customer Engagement Portal (CEP) which allows access to claim status and payment information online. Click the link for instructions: Customer Engagement Portal (CEP)

VA Customer Service Line for general claim stats/payment questions and general information:
Phone: 877-881-7618

Financial Services Center (FSC) Contact Numbers:

Vendor EOB and/or Payment Information, Customer Engagement Portal Assistance
Phone: 877-353-9791

Vendorizing Assistance (Vendor Information Updates)
Phone: 512-460-5049
Fax: 512-460-5221

Appeals Remit Address:

VA Office of Community Care
1601 E. 4th Plain Blvd
10N20NPC/Room B428
Attn: APPEALS
Vancouver, WA 98661

Publicly Displayed

Link to the website/ranking/grading/etc. where the data is published

Resources

Links

Public Website – Main external website for community care.

Public Website for Community Providers – Main public website for community providers.

YouTube Channel – Public video library on a variety of community care and revenue operations topics.

https://www.va.gov/COMMUNITYCARE/revenue_ops/provider_payments.asp

https://www.va.gov/COMMUNITYCARE/revenue_ops/Fee_Schedule.asp

https://www.va.gov/COMMUNITYCARE/providers/Community_Care_Network.asp

https://www.va.gov/COMMUNITYCARE/providers/info_EmergencyCare.asp

https://www.va.gov/COMMUNITYCARE/providers/info_UrgentCare.asp

https://www.va.gov/COMMUNITYCARE/providers/info_OtherCare.asp

https://www.va.gov/COMMUNITYCARE/providers/info_PC3.asp

https://www.va.gov/COMMUNITYCARE/providers/Care_Coordination.asp#RFS

https://www.va.gov/COMMUNITYCARE/revenue_ops/Veteran_Care_Claims.asp

https://www.va.gov/COMMUNITYCARE/providers/index.asp

https://www.va.gov/COMMUNITYCARE/providers/Latest_news.asp

https://www.va.gov/COMMUNITYCARE/providers/EDU_Training.asp

https://www.va.gov/COMMUNITYCARE/providers/info_claimsP2E.asp

https://www.va.gov/COMMUNITYCARE/revenue_ops/claims_status.asp

https://www.va.gov/COMMUNITYCARE/revenue_ops/rejected_claims.asp

https://www.va.gov/COMMUNITYCARE/revenue_ops/provider_payments.asp

https://www.va.gov/COMMUNITYCARE/revenue_ops/claims_status.asp

Notes

Any other pertinent information

Important Notices

1. Effective February 15, 2021, the VA has implemented changes to its community provider emergency treatment reporting process.  VA requests all emergency notifications be reported through either the Emergency Care Reporting (ECR) portal, https://EmergencyCareReporting.CommunityCare.va.gov, or by calling 844-72HRVHA (844-724-7842).  [FACT SHEET]

2. Effective May 1, 2020, the VA Office of Community Care requests Community care paper claims and supporting documentation for services rendered in the community be mailed to the following address:

VHA Office of Community Care
P.O. Box 30780
Tampa, FL 33630-3780

As is always the case, VA strongly encourages community providers submit claims and required supporting documentation electronically through VA’s clearinghouse, Change Healthcare. Doing this can improve claim accuracy and reduce the amount of time for claims processing determinations.

Providers interested in information about claims and supporting documentation submittal should visit: https://www.va.gov/COMMUNITYCARE/revenue_ops/Veteran_Care_Claims.asp.

This does not apply to claims for treatment provided under one of VA’s Third-Party Administrators (TPAs), TriWest or Optum.

3. Unauthorized Emergency Care Documentation Submission Procedures [DOCUMENT]

DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.