| Payer ID |
Payer Name |
EDI and Region Information |
| 68021 |
VA Patient Centered Community Care Program (VAPCCC) Region 1 |
Please include the VA Authorization number when submitting claims. Pre-Enrollment is required for Electronic Remittance Advice.
|
| 68021 |
VA Patient Centered Community Care Program (VAPCCC) Region 2 |
Please include the VA Authorization number when submitting claims. Pre-Enrollment is required for Electronic Remittance Advice. |
| 68021 |
VA Patient Centered Community Care Program (VAPCCC) Region 4 |
Please include the VA Authorization number when submitting claims. Pre-Enrollment is required for Electronic Remittance Advice. |
| VAP03 |
VAPCCC Region 3 |
Region 3: Alabama, Arkansas, Florida, Illinois, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee, Texas, Virginia and West Virginia. Customer Service: (855) 722-2838 option 3, 3. EDI enrollment form under Payer Enrollment Forms - All or Multiple States
|
| VAP5A |
VAPCCC Region 5A |
Region 5A: Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, West Texas, and Washington. Customer Service: (855) 722-2838 option 3, 3. EDI enrollment form under Payer Enrollment Forms - All or Multiple States. |
| VAP5B |
VAPCCC Region 5B |
Region 5B: Hawaii, American Samoa, Guam and the Northern Mariana Islands. Customer Service: (855) 722-2838 option 3, 3. EDI enrollment form under Payer Enrollment Forms - All or Multiple States. |
| VAP06 |
VAPCCC Region 6 |
Region 6: Alaska. Customer Service: (855) 722-2838 option 3, 3. EDI enrollment form under Payer Enrollment Forms - All or Multiple States. |
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