Veterans Choice Program
Provider rates can be viewed online at the Centers for Medicare and Medicaid website. For assistance, download step-by-step instructions.
Reimbursement methodologies for your HNFS PPN Participating Provider Agreement (PPA) are found in the applicable PPA rate exhibits.
Providers had through Dec. 31, 2019, to submit new claims to HNFS for HNFS-authorized services rendered on or before Sept. 30, 2018. See our Claims Submission and Contract Transition pages for details.
If you have questions about claims for HNFS-authorized services rendered on or before Sept. 30, 2018, contact our Provider Services Line at 1-844-728-1914.
A clean claim is a claim that complies with billing guidelines and requirements, has no defects or improprieties and does not require special processing that would prevent timely payment.
Claims must comply with billing guidelines and requirements, have no defects or improprieties and must not require special processing that would prevent timely payment.
When key elements on a paper claim are missing, the system will reject the claim and the submitting provider will receive a letter explaining this rejection.