Champva Claims Submission Address (2024)

FAQs

Where to send a claim to Champva? ›

Changes in status should be reported immediately to CHAMPVA, ATTN: Eligibility Unit, PO Box 469028, Denver, CO 80246-9028 or call 1-800-733-8387.

Our Payer ID number is 84146 for medical claims and 84147 for dental claims. You can also check medical claim status and eligibility status electronically through the VA clearinghouse using the 276 and 270 HIPAA transactions. CHAMPVA receives Medicare Crossover Parts A & B and DMERC claims for our beneficiaries.

Go to www.va.gov/PACT to file. supplemental claim, contact your primary care team to schedule your toxic exposure screening if not already completed. – and apply – anytime by visiting VA.gov/PACT or calling 1-800- MY-VA-411.

Timely filing requirement: Claims must be received no later than one year after the date of service or, in the case of inpatient care, within one year of the discharge date.

Certifications may be submitted by mail to the address on the front or by FAX to 1-303-331-7809. NOTE: It is important to notify the Chief Business Office Purchased Care of any change in student status such as withdrawal or change from full-time to part-time status.

To file electronically, send a HIPAA-compliant 837 electronic data interchange (EDI) health care claim through the VA clearinghouse or another clearinghouse of your choice. To ensure accuracy, please include the following information when submitting CHAMPVA claims: VA beneficiary (your patient) is always the subscriber.

CHAMPVA is NOT considered primary health coverage. Find resources and information about Medicare disability benefits.

Although similar, CHAMPVA is a completely separate program with a totally different beneficiary population than TRICARE — a Department of Defense health care program formerly called CHAMPUS.

To be eligible for schedular TDIU benefits, a veteran must have either: a single service-connected condition with a rating of at least 60 percent; or. (the 70/40 rule) at least two service-connected conditions with a combined rating of at least 70 percent, with at least one of the conditions rated 40 percent or higher.

What percentage of PACT Act claims are approved? ›

Thanks to a historic law, more than a quarter of a million veterans and their survivors have completed such claims, with an 80% approval rate, according to the Department of Veterans Affairs.

Go to your “My VA” dashboard. You will find the link for this dashboard in the top right corner of the page once you're signed in. Scroll down to the “Track Claims” section. There, you'll see a summary of the latest status information for any open claims or appeals you may have.

Changes in status should be reported immediately to CHAMPVA, ATTN: Eligibility Unit, PO Box 469028, Denver CO 80246-9028 or call 1-800-733-8387.

Call 800-733-8387.

eCAMS Provider Portal Login

Providers who filed a claim outside of VA's Community Care Network (CCN) using VA's Electronic Claims Adjudication Management System (eCAMS) may check the status of their VA claim through this eCAMS Provider Portal (ePP).

Enrolled beneficiaries may review their program and claims at the CHAMPVA website.

Fax your form and any supporting documents to 844-678-8979 .

You can also file your claim by mail or in person at the VA facility where you received care. To do this, you'll need to fill out a Veteran/Beneficiary Claim for Reimbursem*nt of Travel Expenses (VA Form 10-3542). Read the statements and certifications carefully. Then sign and date your form.

Although similar, CHAMPVA is a completely separate program with a totally different beneficiary population than TRICARE — a Department of Defense health care program formerly called CHAMPUS.