I-CHAMPVA Fact Sheet yeBillers Medical

Indlela Yokuqoqa CHAMPVA Yezokwelapha

Uhlelo LwezeMpilo Nezokwelapha LweMnyango Wezilwane ZaseMpumalanga (CHAMPVA) luhlelo olunzulu lokunakekelwa kwezempilo kubantu abakufanelekayo futhi abangafanelekile ku-TRICARE. Ilawulwa yi-Veterans Health Administration Office of Community Care eDenver, Colorado. Ihlanganisa abashade nabantwana bama-veterans abakhubazekile ngokuphelele futhi ngokuphelele. Ihlanganisa nabasindile bamalungu ezempi abafa emgqeni womsebenzi kodwa abangakufanelekeli ku-TRICARE.

Ukwaziswa Okujwayelekile nge-CHAMPVA ye-Billing Medical

I-ID yokukhokha

84146 (Ezokwelapha)

Imininingwane yokuxhumana

Ifoni 1-800-733-8387

Ifeksi 1-303-331-7804

Ulwazi lwekheli

VA Isikhungo sokuPhepha kwezeMpilo

CHAMPVA
PO Box 469063
I-Denver CO 80246-9063

Ikheli le-imeyili

Iya ku-http: //www.va.gov/landing2_contact.htm bese ulandela izinkombandlela zokuthumela i-imeyili nge-IRIS.

Ukufaneleka, Izinzuzo, nesimo sesimangalo

Abashadile (okwamanje noma abasinda) kanye nezingane zamantombazane angase afanelekele i-CHAMPVA uma lo mkhuhlane ekhubazekile ngokuphelele (noma ngesikhathi sokufa), noma efa ngenxa yokukhubazeka okuxhunywe ngezinsizakalo. Ibuye ivulekele kumlingani osaphila noma ingane yelungu lezempi elafa emgqeni womsebenzi. Noma kunjalo, kuzo zonke izimo, abantu abafanelekile ku-TRICARE abafanelekile ku-CHAMPVA. Bona ikhasi le-CHAMPVA Elifanelekile.

Ukuze uhlole ukufaneleka, izinzuzo, nesimo sesimangalo, umnikezeli wezempilo angasebenzisa uhlelo lwe-CHAMPVA Interactive Voice Recognition (IVR)

• Amahora angu-24 ngosuku
• Thola imvume ye-CHAMPVA noma inzuzo yomzuzi
• Shayela u-1-800-733-8387 bese ulandela imiyalo yezwi.

Indlela yokuthumela isicelo sokugunyazwa ngaphambi kokuya ku-CHAMPVA

Ukugunyazwa kwangaphambili kusuka ku-CHAMPVA kuyadingeka ku:

• Izinsiza Zezokwelapha Ezingapheli (DME) $ 2,000.00 noma ngaphezulu (ukuthengwa noma ukuqashwa)
• Impilo yengqondo kanye / noma amasevisi okusebenzisa izidakamizwa
• Ukuguqulwa komunwe we-Organ kanye namathambo
• Ukunakekelwa kwamazinyo

Thumela izicelo zokugunyazwa ngaphambi kokunikeza izinsizakalo ngefoni usebenzisa inombolo yocingo ekhadini lokuhlonza ilungu.

• Ukuze uthole impilo yengqondo nokusebenzisa kabi izidakamizwa, ukugunyazwa kwangaphambili kubiza u-1-800-424-4018
• Imishini yezokwelapha ehlala njalo nezinye izigunyaziso zangaphambili fonela ku-1-800-733-8387

Okuningi

Ulwazi Lokubhila

Kunezindlela ezimbili zokumangalelwa izimangalo ku-CHAMPVA

1. Izimangalo ze-elekthronikhi zingathunyelwa ngokusebenzisa umthengisi / indlu yokuhlanza.
2. Izicelo zephepha zingathunyelwa ekhelini le-imeyili le-CHAMPVA.
   • Izicelo zephepha kufanele zithunyelwe ku-:
     VA Isikhungo sokuPhepha kwezeMpilo
     Izicelo ze-CHAMPVA
     PO Box 469064
     I-Denver CO 80246-9064

Izimangalo zesekondari:

• I-Medicare izodlulisela nge-elektroniki ku-CHAMPVA uma inombolo ye-Medicare Health Insurance Claim (HICN) ifayela
• Thumela nge-elekthronikhi noma ephepheni ngokuchaza okuyinhloko kwezibonelelo (EOB) ekhelini elibalwe ngenhla
• Faka izindleko zokulungiswa - ezingeni zombili lezicelo kanye / noma ezingeni lezinsizakalo zesevisi (uma zikhona)
• Faka izizathu zokulungiswa - ukubophezela kwesivumelwano, ukuchithwa, ukuqinisekiswa kwemali, njll. Sebenzisa amakhodi anikezwe imali yokukhokhwa komkhokhi oyinhloko
• Isamba esikhokhelwayo sokukhokha okuyinhloko - kokubili izinga lokumangalelwa kanye / noma izinga lezinga lomsebenzi (uma likhona)

Izidingo Zokuthumela Okwamanje

Izimangalo kumele zitholwe yi-CHAMPVA zingakapheli unyaka owodwa kusukela ngosuku lokusebenza noma kungakapheli unyaka owodwa kusukela ngosuku lokukhishwa kwesikhungo sokugula. Noma yisiphi isimangalo esithunyelwe ngemuva konyaka owodwa sizophikwa.

Izimangalo ezilungisiwe

Uma wenza izinguquko kumangalo akhokhelwa ngaphambili, thintana nehhovisi elibheke isimangalo sokuqala ngezincwadi ezisekelayo eziqinisekisa ukuguqulwa kokukhokha kanye / noma ukukhokhisa ngencwadi yesikhwama echaza ukuthi kungani.

Ukubuyiselwa kwemali

Ukukhokhwa ngokwezimali kumele kubuyiselwe isheke esikhokhelwa ku-CHAMPVA:

VA Isikhungo sokuPhepha kwezeMpilo
CHAMPVA
PO Box 469063
I-Denver CO 80246-9063

Okuningi

Ulwazi Lokudlulisa

Abahlinzeki kufanele bahambise isicelo sokubukeza kabusha:

VA Isikhungo sokuPhepha kwezeMpilo
CHAMPVA
I-Attn: Izikhalazo
PO Box 460948
Denver, CO 80246-0948

Izikhalazo zezempilo ezingeni lokuqala zihambisa:

I-Magellan Health Behavioral Health
CHAMPVA
PO Box 3567
Englewood, CO 80155

Isikhalazo seNqanaba 1

• Thumela kungakapheli unyaka owodwa osukwini lokuphika kokuqala noma ukukhokha
• Thola ukuthi kungani ucela ukubuyiselwa kabusha
• Faka ikhophi ye-EOB noma incwadi yokuzimisela.
• Faka ulwazi olusha olungakahanjiswa ngaphambilini

Isikhalazo seNqanaba 2

• Uma ungenelisekile ngesinqumo sokubuyekezwa kwezinga lokuqala, ungathumela isikhalazo ekubuyekezweni kwezinga lesibili ezinsukwini ezingu-90 zekhalenda kusukela ngosuku lokunquma kwesigaba sokuqala. Ngezikhalazo zeBilidi-Level, landela izikhombisi ezifanayo ezichazwe eziKholeni zokuQala okuPhezulu kodwa ukhombise "Isicelo sokuBuyekwa kweNqanaba lesiBili" kwifomu lesikhalazo noma incwadi.

• Izinqumo zesinqumo sesibili sokwenza isikhalazo zigcina.

• Izicelo zokubuyiselwa kwempilo yengqondo yesibili kufanele zithunyelwe ku-:
  VA Isikhungo sokuPhepha kwezeMpilo
  CHAMPVA
  I-Attn: Izikhalazo
  PO Box 460948
  Denver, CO 80246-0948

Okuningi