This section is non-exhaustive and covers the most common scenarios gathered from our experience serving over 2000 VACCN providers, communications received directly from the VA, Optum and TriWest documentation, various provider experiences, and direct contact from VAMCs nationwide.
It is vital for all providers to follow these guidelines. It is also important to note that these rules are ever-changing, and might differ in the future, or might be different at your local VAMC. If you have any questions or uncertainties, please consult with your VA Social Worker, case manager, Optum, TriWest, or Paradigm for guidance.
While we aim to provide accurate and up-to-date information in this guide, no guarantees are made to the completeness, relevance, or accuracy of the contents. It is designed for educational purposes only and should not be considered professional advice.
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Continue on to the next section to read about billing and claims management. It’ll answer questions like:
Read our guide to VA billing and claims.
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