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Dr Clinic Refused Champva

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KHJH

Question

I called St. Mary's Womens Clinic today and they said they did not accept

ChampVA and I would be liable for the full amount of the bill. This is the first

time I've tried to use the ChampVa. Is it going to be difficult to find a clinic that will

accept ChampVA?

Kathy

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  • HadIt.com Elder

Its unfortunate Jay but in Texas all the Docs accept it. Must be the discounts I guess.

Veterans deserve real choice for their health care.

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  • HadIt.com Elder

In my experience, most of the problems that arise from Tricare are due to 'improper billing' an/or 'fraudulent charges'. The office staff simply do not know how to code the forms.

It appears that Tricare has never really provided adequate guidance, and their codes are far from explanatory, and many of them are not even listed on their form.

Fight the VA as if they are the enemy; for they are!

Erin go Bragh

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Our experience wit ChampVA has by and large been very positive. When it is billed correctly ChampVA is very responsive in payments, and their payment rates are similar to Medicare. The only problem I have had is with lab billing. For some reason LabCorp cannot figure out how to bill them correctly. The docs get paid on time, and so does the pharmacy, but the labs take months of refiling, because they filed it wit the wrong social, the wrong relationship etc etc etc.

Bob Smith

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Guest rickb54

When I lived in Texas, Scott & White refused to take tricare any more, or champva Scott & White was the only real provider in the Killeen/Temple area. they stopped accepting it because the payments were to small.

However here in Georgia we have not had a problem. When a doctor, or hospital agrees to accept these insurances, they also agree to accept the ceiling on the charges that is placed on them. They are good insurances, but sometimes it pays to have a supplement insurance, like AUSA's at 17.00 a month, which covers the copayments for tricare prime.....

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