CHAMPVA Fact Sheet for Medical Billers

Nzira yeBill CHAMPVA yeZvipatara

Iyo yehupenyu hwehutano nehupurogiramu yehutano yeDhipatimendi reVeteran Affairs (CHAMPVA) chirongwa chakakwana chekuchengetedza hutano kuvanhu vanofanirwa uye vasina kukodzera TRICARE. Inotungamirirwa neVeterans Health Administration Office of Community Care muDenver, Colorado. Inobatanidza vakaroorana uye vana veterans vanogara vakagadzikana zvachose. Inosanganisira avo vakapukunyuka vemauto avo vakafa mumutoro webasa asi vasina kukodzera ku TRICARE.

Nyaya Yakawanda yeCAMPVA yeBill Billing

Payer ID

84146 (Chiremba)

Bata Numeri

Foni 1-800-733-8387

Fax 1-303-331-7804

Address Information

VA Health Administration Center

CHAMPVA
PO Box 469063
Denver CO 80246-9063

Chikero chetsamba yemumhepo

Enda ku http://www.va.gov/landing2_contact.htm uye tevera mazano ekuendesa e-mail ne IRIS.

Kukodzera, Kubatsirwa, uye Mamiriro Ekutaura

Vakaroorana (ikozvino kana kuti vapenyu) uye vana vezvizvarwa zvekare vangave vakakodzera CHAMPVA kana muchengeti wekare anenge akaremara zvachose (kana aiva panguva yekufa), kana akafa nekuda kwekuremara kwakabatanidzwa. Izvo zvinozarurirwa kumudzimai anoramba aripo kana mwana wemumwe wemutoja akafira mumutsara webasa. Zvisinei, mumamiriro ezvinhu ose, vanhu vakakodzera kuT TRICARE havafanirwi neCAMPVA. Ona CHAMPVA Eligibility peji.

Kuti uongorore kukodzera, zvikwereti, uye mamiriro ekutsvaga, mupi wehutano anogona kushandisa CHAMPVA Interactive Voice Recognition (IVR) System

• 24 Maawa neZuva
• Gamuchira CHAMPVA ruzivo rwekuwana ruzivo kana unhu hunobatsira
• Dhonza 1-800-733-8387 uye tevera inzwi rinorayira.

Nzira Yokutumira Pamberi Pakugadzwa Chikumbiro kuna CHAMPVA

Pamberi Chibvumirano kubva kuCAMPVA chinotarisirwa ku:

• Durable Medical Equipment (DME) $ 2,000.00 kana kupfuura (kutenga kana kurohwa)
• Utano hwepfungwa uye / kana kushandiswa kwezvinodhaka
• Nhengo uye mapfupa emapfupa anoputika
• Dental care

Isa zvikumbiro zvinotenderwa kare usati wapiwa maitiro nefoni uchishandisa nhamba yefoni padhigiramu yekuziva.

• Nokuda kwehutano hwepfungwa uye kushandiswa kwezvinodhaka, zvivimbiso zvekare zvisati zvasvika 1-800-424-4018
• Nokuda kwezvigadzirwa zvekurapa zvekurapa uye mamwe magwaro anogadzwa kare call 1-800-733-8387

Zvimwe

Mashoko Okubhadhara

Kune nzira mbiri dzekubhadhara zvikwereti kuna CHAMPVA

1. Zvitongwa zvemagetsi zvinogona kutumirwa kuburikidza nemutengesi wemagetsi / kuchenesa.
2. Pepanhau rinogona kuendeswa kune CHAMPVA inotaura kero yekutumira.
   • Pepanhau rinofanirwa rinofanira kutumirwa kune:
     VA Health Administration Center
     CHAMPVA Zvikwereti
     PO Box 469064
     Denver CO 80246-9064

Secondary claims:

• Medicare ichaendesa mberi kwekombiyuta kuCAMPVA kana Medicare Health Insurance Claim yenhamba (HICN) iri pafaira
• Tumira mameseji kana pepa rine hurukuro yokubhadhara tsanangudzo yebatsiro (EOB) pane kero iri pamusoro apa
• Itai kuti kugadzirisa zviyero - pamatanho maviri ekutaura uye / kana sezera rebasa rebasa (kana riripo)
• Itai zvikonzero zvekugadziriswa - zvibvumirano zvekubvumirana, kubhadharwa, kubhadhara, nekudaro. Shandisai mitsara inopiwa nemutengo wekubhadhara mubhadharo
• Mubhadharo wepamusoro unobhadharwa - pamatanho maviri ekudaidza uye / kana kuti nhare yezera rebasa (kana iripo)

Zvirongwa Zvokudhinda Zvenguva Ino

Mitsva inofanirwa kugamuchirwa naCAMPVA mushure megore rimwe kubva musi webasa kana mukati memakore rimwe kubva pazuva rokubudiswa kubva kune imwe nzvimbo yezvipatara. Chero chirevo chakaiswa mushure megore rimwe chicharamba.

Corrected Claims

Paunenge uchiita shanduko kune zvikwereti zvekare zvakabhadharwa, taura nehofisi yakashandura chirevo chepakutanga nemagwaro anotsigira anosimbisa kuchinja kwekunyora uye / kana kubhadhara netsamba yekuvhura inotsanangura chikonzero nei.

Kudzorera

Kubhadhara zvikwereti kunofanira kudzorerwa ne cheki yakabhadharwa kuCAMPVA:

VA Health Administration Center
CHAMPVA
PO Box 469063
Denver CO 80246-9063

Zvimwe

Mashoko Okutsvaga

Vapiro vanofanira kutumira chikumbiro chokufunga zvakare ku:

VA Health Administration Center
CHAMPVA
Attn: Kudzokorora
PO Box 460948
Denver, CO 80246-0948

Nekutanga kwehutano hwehutano hwepfungwa dzinoiswa kune:

Magellan Behavioral Health
CHAMPVA
PO Box 3567
Englewood, CO 80155

Nhamba 1 Chikumbiro

• Tumira mukati megore rimwe kubva pazuva rokutanga kuramba kana kubhadhara
• Ziva chikonzero nei iwe uchikumbira kubvunzurudzwa
• Isawo kopi yeEOB kana tsamba yekutsunga.
• Isawo mashoko matsva asina kutumirwa kare

Nhamba 2 Chikumbiro

• Kana iwe usingagutsikane nechisarudzo chekubvunzurudza kwekutanga kwekutanga, unogona kutumira chikwata kuchirongwa chechipiri chepakati mukati memakore makumi mapfumbamwe emakorodhe kubva musi wekutsvaga kwekuongorora kwehukutanga. Nekutsvaga kweZvipiri-Nhamba, tevera maitiro akafanana neakatsanangurwa kweZvinyorwa Dzokutanga asi ratidza "Chikumbiro cheChipiri Chekukumbira" pane fomu yekukumbira kana tsamba.

• Chechipiri chikwata chekuita chisarudzo chisarudzo chirikupedzisira.

• Chechipiri maitiro ekufungisisa kwehutano hwepfungwa anofanirwa kuendeswa kune:
  VA Health Administration Center
  CHAMPVA
  Attn: Kudzokorora
  PO Box 460948
  Denver, CO 80246-0948

Zvimwe