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  • Claims Not Authorized By The Veteran's Administration
  • Post author
    Lacy Gaskins

Claims Not Authorized By The Veteran's Administration

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) accept and work with a value code of “42” regarding claims for services in a Non-VA facility that were not authorized by the Veteran’s Administration.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3779CP.pdf

Subject: Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42

Number: 3779

Title: 9818

Release Date: May 24, 2017

Effective Date: October 1, 2013

Implementation Date: April 3, 2017

Special Transmittal Notes: Transmittal 3718, dated February 14, 2017, is being rescinded and replaced by Transmittal 3779, dated May 24, 2017, to clarify information in the background section. All other information remains the same.

  • Post author
    Lacy Gaskins

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