VA CCN provider portal, phone and payer ID quick facts
| Provider portal | https://www.va.gov/communitycare/providers/ |
|---|---|
| Provider phone | 1-888-901-7407 |
| Claims payer ID | 84146 |
| Eligibility payer ID | 84146 |
| ERA payer ID | 84146 |
| Timely filing | 180 days (verify applicability) |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
- This registry has not established a payer-specific appeal ladder for VA CCN. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
VA CCN at a glance
| Legal name | VA Community Care Network |
|---|---|
| Also known as | VA Community Care Network, Veterans Affairs CCN |
| Category | Government program |
| Parent organization | U.S. Department of Veterans Affairs (contracted through Optum Serve and TriWest) |
| Claims payer ID | 84146 |
| Eligibility (270/271) payer ID | 84146 |
| ERA (835) payer ID | 84146 |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Provider portal | https://www.va.gov/communitycare/providers/ |
| Provider phone | 1-888-901-7407 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for VA CCN
This registry lists 180 days as an initial-claim reference for VA CCN. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 180 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for VA CCN. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: VA CCN provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with VA CCN
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
VA CCN accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.
VA CCN maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.
Top denial reasons for VA CCN
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient VA CCN volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | 84146 |
| 270 / 271 eligibility | Yes | 84146 |
| 278 prior authorization | Yes | Verify X12 278 routing separately |
| 835 ERA | Yes | 84146 |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Confirm whether the service belongs to VA CCN, CHAMPVA, TRICARE, or another VA-family workflow before using payer ID 84146; these programs can look similar in clearinghouse search results but route differently.
- VA CCN claim routing depends on the contracted region and administrator; Optum Serve and TriWest workflows should be verified from the authorization/referral and provider portal before submission.
- Capture referral or authorization evidence from the VA community care workflow before claim release, especially for specialty, ancillary, or home-care services.
Common denial and routing risks for this payer
- Confusing VA CCN with CHAMPVA medical claims because both can surface payer ID 84146 in search and clearinghouse data.
- Billing without the VA referral/authorization context required for community care services.
- Using a national timely filing assumption when the authorization, contract, or administrator-specific guidance controls the claim path.
How QuickIntell supports this workflow
- Split VA CCN, CHAMPVA, and TRICARE into separate routing rules so government-program payer IDs do not collide.
- Attach VA referral, authorization, region, and administrator details to the claim workqueue before release.
- Track claim follow-up separately for Optum Serve and TriWest-administered community care paths.
Sources used for this guide
QuickIntell coverage for VA CCN
Frequently asked questions about VA CCN
Where is the VA CCN provider portal?
The VA CCN provider portal is available at https://www.va.gov/communitycare/providers/. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.
What is the timely filing limit for VA CCN?
This registry lists 180 days as an initial-claim reference for VA CCN. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the VA CCN payer ID?
The registry lists claims payer ID 84146 for VA CCN. Eligibility (270/271): 84146. ERA (835): 84146. Do not substitute a claims ID for an unverified transaction ID. Confirm the member ID card, product and clearinghouse payer list before submitting.
Does VA CCN accept electronic claims?
Yes — VA CCN accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.
How do I appeal a VA CCN denial?
This registry has not established a payer-specific appeal ladder for VA CCN. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do VA CCN prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the VA CCN provider phone number?
This registry lists 1-888-901-7407 as a provider contact for VA CCN. Confirm the service scope and the number on the member ID card; claim, eligibility and authorization inquiries may use different teams. Have the member ID, date of service and tax ID ready. The provider portal is https://www.va.gov/communitycare/providers/.
For revenue-cycle teams
Connect payer lookups to your revenue-cycle workflow
Do staff repeatedly move between payer references, eligibility checks, claim status and remittance follow-up?
- Keep this payer's official reference available to the team.
- Identify one repeated administrative task and measure its handling time.
- Evaluate the required access, exceptions and reviewer handoff before expanding automation.
VA CCN is an operational reference. Payer decisions remain with the payer. Confirm plan coverage, system access and supported actions during a scoped evaluation.
Download the illustrative workflow worksheet (PDF) · Explore the AI RCM evaluation toolkit · Model the workload and costs
Automate workflows around VA CCN requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against VA CCN's current published documents before submission. CPT® is a registered trademark of the American Medical Association.