The Veterans Health Administration Processed 66% Of Community Provider Claims Within 30 Days In 2015

In fiscal year 2015, the Veterans Health Administration (VHA) claims processing locations processed only 66% of claims from community-based provider organizations within 30 days after the claims were submitted. A key problem for the VHA is that about 60% of claims are paper-based and must be scanned into the electronic claims system. A VHA directive states that 90% of all claims for the Department of Veterans Affairs’ (VA) care in the community services must be processed (either paid or rejected) within 30 days of receipt.

Medicare and TRICARE, the Department of Defense health care system, claims processing contractors . . .