VA Billing & Co-payments
Veterans with any copayments due will receive a bill at their address of record
within 30 days after their stay or appointment. If you have any questions about
your copay balance, please contact our Billing Office at 1-866-802-6381.
How To Pay At My VA Billing for Emergency Care in
Non-VA Facilities
In order to file your claim for reimbursement of medical care not pre-authorized by the Department of Veterans Affairs, please ask the vendor (hospital, physician, ambulance service, etc.) to send the following documents directly to the
VA.
• HCFA Form UB92, UB04 or 1500 (Pink and White Original)
• Itemized billing statement from the facility
• Copy of the emergency room medical records
• Copy of transportation log sheet
Send the information to the address listed below:
VISN 16 CFU, P. O. Box 320164, Flowood, MS, 39232
For questions after you have submitted your claim, call 1-866-388-5428 or
601-933-7700.
Please note that obtaining the above documentation from the non-VA vendor is your responsibility. It is also your responsibility to ensure VA receives the documentation. The VA has no legal authority to intercede with non-VA facilities on your behalf.
If VA does not receive the above required documentation within 90 days from the date of treatment, your claim may be disapproved.
Veterans receiving inpatient emergency medical care in non-VA facilities are required to notify the VA within 72 hours of admission. Please call
713-794-7109.
