GENERAL CLAIM FILING INSTRUCTIONS

Chapter 3, Section 1.1

Claims (bills for services) are to be sent to CHAMPVA, PO Box 469064, Denver, CO 80246-9064

• Your name must be listed on the claim form exactly as it is on the CHAMPVA Authorization Card.
  
• Your Social Security Number must be on the claim. DO NOT USE the veteran's Social Security Number.
  
• If you have other health insurance (OHI), include a copy of the OHI explanation of benefits.
  
• Keep copies of all receipts, invoices, etc.
  
• Separate claim forms are required for each patient/beneficiary.
  
• If you do not complete CHAMPVA Claim Form 10-7959a, payment will be made directly to the health care provider instead of to you.
  
• For inpatient hospitalizations, payment will always be made to the hospital whether or not you submit the billing.
  
• After billing your other health insurance, you can file with CHAMPVA for the remaining balance.