NP VA Account Setup and Authorization

purpose to ensure accurate entry of va (veterans affairs) insurance and authorization information for proper billing, compliance, and timely reimbursement when to use use this process when a new va patient is scheduled with an approved referral before the patient’s first visit whenever a new va referral or authorization is received responsible role front desk / patient coordinator creates the va insurance policy, case, and authorization billing team (if applicable) verifies accuracy and ensures claims are processed correctly creating a va account go to patient > insurance enter the following payor insurance plan vaopt – va ccn optum policy type primary individual plan information vaccn insured id / policy # patient’s dob effective date start date of treatment expiration date referral expiration date copay & coinsurance next other coverage details visit limits click save and close reselect the policy and update subscriber id patient’s ssn insured ssn patient’s ssn entering case information new va patients require a new case select add case enter the following name dept of veteran care type wellness guarantor self case bill type insurance date of onset day before initial or re exam visit initial treatment date initial visit date click save and close entering authorization reselect the case go to authorizations > add authorization enter the following auth # va referral number date requested referral issue date service type 33 chiropractic status approved date approved new va patient referral issue date approved from initial treatment date approved to 60, 90, or 180 days from initial treatment date (per referral) total authorized number of visits approved by the va rendered outside of practice 0 click save and close final steps go to billing and "override default bill type with case billing details enter alert with # of visits approved and expiration date