Community Care

Paper to Electronic Claims

Submission Process for Veteran Community Care Claims and Supporting Documents

VA is transitioning paper claims and supporting documents for community care to an electronic format in order to improve the claims submission and processing capabilities. Community providers who submit paper claims and supporting documentation should submit those documents, to:

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

Paper Claims and supporting documentation submitted to the above address will be scanned, converted to EDI transactions and submitted electronically to VA.

Avoiding Rejections

To increase efficiency and accuracy in claims processing, claims and records will be scanned for compliance prior to acceptance. Claims and records that do not conform to the minimum requirements will be rejected back to the provider for correction. Providers who submit noncompliant claims and records will receive a letter from VA that includes the rejection code and reason for rejection.

To learn more about proper claims and records submission, visit File a Claim for Veteran Care.

Paper Supporting Documentation

Emergency care claims and associated records sent to VA in a paper format will undergo electronic conversion to 837 and 275 transactions. In order to process claims properly, the VA must link supporting documentation submitted with its corresponding claim.

For linkage to occur, community providers should submit all paper-based supporting documentation with enough data to associate it with an emergency care claim, and can do so by including one of the following with their paper documentation submission:

• A paper claim
• A copy of the claim
• An accurately completed P2E Documentation Cover Sheet
  

  P2E Documentation Cover Sheet, VA Form 10-10143f

IMPORTANT NOTE: On and after May 1, 2020, it is strongly encouraged that providers submitting records in support of an emergency care claim use the electronic or paper submission process described above. Any supporting documentation that the VA is unable to convert and associate with a claim may be rejected and returned to sender.

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