Provider FAQ

Complete our <a href='/providers/enroll' class='text-primary hover:text-primary-hover underline'>online enrollment application</a>, meet eligibility requirements including active licensing, malpractice insurance, and Medicare enrollment or opt-out. The process typically takes 5-7 business days for review.

You must have: active state medical license, current malpractice insurance, Medicare enrollment or opt-out affidavit, clean background check, and meet VA quality standards.

Initial application review takes 5-7 business days. Complete credentialing and contracting may take 30-60 days depending on your documentation and specialty requirements.

Veterans are referred through VA's centralized system. You'll receive referrals based on your specialty, location, and availability. Referrals come with authorization numbers and care instructions.

Verify the Veteran's authorization, document all care provided, submit required reports to VA, and coordinate follow-up care as specified in the referral.

Yes, you can provide emergency care. Notify VA within required timeframes and follow emergency care protocols. VA covers emergency care costs when properly documented.

Submit claims electronically through VA's billing system using the authorization number. Include all required documentation and follow VA's billing guidelines and fee schedules.

Payment rates are typically based on Medicare rates or negotiated fee schedules. Rates vary by region and specialty. Contact your network representative for specific rate information.

Clean claims are typically processed within 30 days. Electronic submissions are processed faster than paper claims. Track claim status through the provider portal.

Access training materials through your provider portal including billing guides, clinical protocols, and compliance requirements. New provider orientation is also available.

Contact your assigned network representative for clinical questions, billing support team for payment issues, or our general provider helpline for other concerns.