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 Change Healthcare using the 276 and 270 HIPAA transactions. CHAMPVA receives Medicare Crossover Parts A & B and DMERC claims for our beneficiaries.
How do I bill Champva?
Call 1-800-733-8387
and select the claim form option from our Interactive Voice Response (IVR) system. Visit the VHA Office of Community Care website at https://www.va.gov/ communitycare/pubs/forms. asp to download all CHAMPVA forms.
What is the payer ID for the VA?
VA’s Payer ID numbers are:
CLFM1 for medical claims
.
276 / 270 for medical claims status and eligibility status
.
How does Champva reimbursement?
CHAMPVA pays
75% of the allowable amount
. What does CHAMPVA pay for outpatient services? The allowable amount for outpatient services is the lesser of the CHAMPVA established maximum allowable amount or the actual billed charge. After the deductible has been met, CHAMPVA will pay 75% of the allowable amount.
How do I check my Champva claims?
Visit
the Inquiry Routing & Information System (IRIS) website
to search Frequently Asked Questions or ask a question on-line. Enrolled beneficiaries may review their program and claims at the CHAMPVA website. Call 1-800-733-8387, (Monday through Friday from 8:05 a.m. to 6:45 p.m. Eastern Time)
Does Champva have a copay?
None
. CHAMPVA beneficiaries don’t pay out-of-pocket expenses when receiving services under the CITI program.
Is dental covered under Champva?
Veterans and CHAMPVA beneficiaries have the opportunity to purchase dental insurance at a great rate. Purchasing a dental plan does not affect Veterans’ eligibility for VA dental services and treatment.
Covered services include diagnostic, preventative, surgical, emergency and endodontic/restorative treatment
.
How do I bill VA?
- Online: Pay directly from your bank account, by debit card, or credit card at the Pay.gov website.
- By Phone: 888-827-4817.
- In Person: Pay at your local VA Medical Center Agent Cashier’s Office.
What is the payer ID for Tricare for Life?
Payer Name: TriCare for Life|Payer ID:
TDDIR
|Professional (CMS 1500)
What is the payer ID for Tricare West?
TRICARE West Region Payer ID:
99726
. Note: If your clearinghouse is Change Healthcare, the West Region payer ID is SCWI0 for professional claims and 12C01 for institutional claims.
Do spouses of 100% disabled veterans get benefits?
CHAMPVA for Spouses of Totally Disabled Veterans
VA will also provide
health care insurance coverage
for the spouses of certain totally disabled (whether rated 100 percent or receiving TDIU benefits) veterans under the Civilian Health and Medical Program, or CHAMPVA.
What services does Champva cover?
- Ambulance service.
- Ambulatory surgery.
- Durable medical equipment (DME)
- Family planning and maternity.
- Hospice.
- Inpatient services.
- Mental health services.
- Outpatient services.
Who takes Champva?
- Family Doctor (2753 providers)
- Emergency Doctor (1855 providers)
- Internist (1852 providers)
- Radiologist (1231 providers)
- Pediatrician (Kids / Children Specialist) (782 providers)
- Obstetrician / Gynecologist (OBGYN) (720 providers)
- Surgeon (551 providers)
How do I get a 100% VA rating?
- You must be a Veteran.
- You must have at least one service-connected disability rated at 60% or higher OR.
- Two or more service-connected disabilities with at least one rated at 40% or more with a combined rating of 70% or more.
Can I lose my 100 percent VA disability?
The VA can reduce a total impairment — a 100% rating —
only if there is a “material improvement” in the veteran’s condition
. “Material improvement” is more than a subsistence of symptoms or temporary remission of a chronic condition.
Can I add my wife to my VA health insurance?
If you’re the spouse, surviving spouse, dependent child, or family caregiver of a Veteran or service member,
you may qualify for health care benefits
. In certain cases, you may also qualify for health care benefits due to a disability related to your Veteran’s service. Find out if you qualify and how to apply.
