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 | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for VA CCN. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Provider resource entry point | https://department.va.gov/vha/community-care/provider-claims/ |
| Provider phone | 1-888-901-74071-888-901-7407 is Optum Region 1 support. Use authorization/referral and official VA region directory for other regions. |
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
VA urgent-care guidance and TriWest authorized CCN guidance use 180 days; verify service, authorization, administrator and applicable exceptions. Other VA benefits and appeals are separate.
| Submission type | Window |
|---|---|
| Initial claim reference | CCN context: 180 days; verify authorization and region |
| 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
Verify VA CCN electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for VA CCN. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
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 | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for VA CCN. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
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
- Identify the VA program, authorization/referral, contracted region and administrator before choosing a claims route; VA CCN, CHAMPVA and TRICARE are not interchangeable.
- The checked VA urgent-care instructions identify VACCN for Optum-administered Regions 1–3. TriWest’s authorized VA CCN medical-claims guidance uses TWVACCN for its regions. Verify service type and current administrator instructions rather than use one national identifier.
- 1-888-901-7407 is Optum Region 1 support only. Other Optum regions and TriWest have separate contacts in the official VA directory.
- Claims routing does not establish an eligibility, ERA or authorization transaction ID. Confirm those transactions independently with the responsible administrator.
Common denial and routing risks for this payer
- Confusing VA CCN with CHAMPVA or TRICARE and selecting a route for a different benefit program.
- Billing without the referral, authorization, region and administrator context required for the applicable community-care service.
- Applying an initial-claim window to a different VA program or to a corrected claim, reconsideration or appeal.
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.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone, portal_url
Source comparison: 2026-09-18
Optum Regions 1–3 and TriWest Regions 4–5 differ; authorization/referral determines recipient. Stored 888-901-7407 is Region 1 only. Source locator: VA and CCN claims; CCN claims.
Primary source for provider_phone, portal_urlpayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, timely_filing_days, filing_rule
Source comparison: 2026-09-18
VA urgent-care instructions use 180 calendar days and identify VACCN for Optum Regions 1–3. This is not a universal VA-program or transaction route; the former 84146 mapping was withdrawn. Source locator: Urgent care: Filing an urgent care claim; Instructions; Support.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, timely_filing_days, filing_rulepayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, timely_filing_days, filing_rule
Source comparison: 2026-09-18
Authorized VA CCN claims: 180 days from service and PGBA medical claims payer TWVACCN; not TRICARE West 99726 or every VA program. Source locator: Claims Submission; timely filing.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, timely_filing_days, filing_rule
Not checked in this pass: All fields outside these bounded findings, including exact legal entity/NAIC, current enrollment and geography; Product-complete initial, corrected, secondary and appeal rules, agreements, exceptions and effective dates; Every claims, eligibility, ERA and authorization transaction identifier; portal access is not capability certification; Current clinical criteria and prior-authorization code samples; QuickIntell integrations/outcomes and historical DataForSEO demand; Accountable whole-record editorial approval; no last_reviewed date was advanced.
Sources used for this guide
Evaluate QuickIntell workflow fit for VA CCN
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for VA CCN; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for VA CCN; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for VA CCN before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about VA CCN
Where is the VA CCN provider portal?
Use https://department.va.gov/vha/community-care/provider-claims/ as a starting point for VA CCN provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for VA CCN?
VA urgent-care guidance and TriWest authorized CCN guidance use 180 days; verify service, authorization, administrator and applicable exceptions. Other VA benefits and appeals are separate.
Does VA CCN publish a single claims payer ID?
This registry has not established one all-product claims payer ID for VA CCN. See the source findings for transaction-specific references. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does VA CCN accept electronic claims?
Verify VA CCN electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
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 contact reference for VA CCN. 1-888-901-7407 is Optum Region 1 support. Use authorization/referral and official VA region directory for other regions.
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.