Va Medical Claim Process

While not required to process a claim for authorized services medical documentation must be submitted to the authorizing VA medical facility as soon as possible after care has been provided.

Va medical claim process. If you file your claim on eBenefits youll see a notice from us in your claims list within about one hour of applying. Download VA Form 21-526EZ PDF Print the form fill it out and send it to this address. VA can then review and process the claim more quickly. A VA representative will then review your claim to determine if any additional information is needed.

Each claim is different but it usually takes us about 3 to 4 months to process a claim from start to finish. Well let you know when we receive your VA disability claim. The processing time for your claim depends on how complex your claim is and how many conditions youve claimed. To submit your claim through the Fully Developed Claims program youll need to turn in the information and evidence at the same time as you file your claim.

Go to your My VA dashboard. Click on the View Status button for a specific claim. Normally takes between 7 and 14 days STEP 2. This step typically takes 7 to 21 days STEP 3.

If you turn in more information or evidence after you send in your fully developed claim well remove your claim from the FDC program and process it as a standard claim. This may help speed up the claim decision process so you can get your benefits sooner. To apply for SMC if you are housebound or required the aid and attendance of someone to perform daily living functions complete VA Form 21-2680 and mail it to your nearest VA regional office. There youll see a summary of the latest status information for any open claims or appeals you may have.

Your claim has been received by the VA. If you file your claim online youll get an on-screen message from us after you submit the form. This step is the longest phase in the VA claim process and usually takes 30-60. Learn about special monthly compensation benefit rates.

A veteran should first receive notification from VA that the claim was receivedwhich may take up to two weeks after filing a paper form or within a matter of hours if the claim was submitted electronically. There are multiple methods by which community providers may electronically provide VA with the required medical documentation for care coordination purposes. Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville WI 53547-4444. You are strongly encouraged to submit as much evidence as possible with your claim to help minimize processing time.

File your claim by mail using an Application for Disability Compensation and Related Compensation Benefits VA Form 21-526EZ. If you applied online with VONAPP Direct Connect you should see receipt in your list of Open Claims within one hour. As a standard claim VA is responsible for getting relevant records from any Federal agency that you adequately identify and authorize VA to obtain. The eight steps of claims processing are as follows.

Scroll down to the Track Claims section.