Every medical billing team that sees veterans’ families will eventually meet the CHAMPVA timely filing limit, usually the hard way. A secondary claim sits in a work queue waiting for a primary EOB, a batch of retroactive claims never gets rebilled, or a denial code 124 lands on a remit and nobody notices until the write-off report. By then the revenue is gone and the patient cannot be billed to make up the difference.
This guide explains the CHAMPVA timely filing limit in plain terms: the one-year rule, the two 180-day retroactive windows, how Department of Veterans Affairs (VA) counts the clock, when a late claim can still be rescued, what denial code 124 means, how appeals work in 2026, and where to send claims. It also gives your billing team a workflow that keeps CHAMPVA claims inside the window every time. Rules are drawn from VA’s provider pages and the federal regulations, and you should confirm them against the linked sources before acting on any single claim.
The short answer: The CHAMPVA claim filing deadline is one year. VA must receive the claim within one year of the date of service, or within one year of discharge for inpatient care. Two exceptions give providers 180 days after the patient is notified of a retroactive authorization or retroactive eligibility, under 38 CFR 17.276.
CHAMPVA Timely Filing Limit at a Glance (2026)
Timely filing is the maximum time a payer allows between a service and the receipt of the claim. For CHAMPVA, the Civilian Health and Medical Program of the Department of Veterans Affairs, that window is set by federal regulation rather than by a payer contract. The table below puts every deadline your team works with in one place.
| Situation | Deadline | Clock starts | Source |
|---|---|---|---|
| Outpatient and professional claims | 1 year (count 365 days) | Date of service | 38 CFR 17.276(a)(1) |
| Inpatient facility claims | 1 year | Date of discharge | 38 CFR 17.276(a)(2) |
| Retroactive approval of a service or supply | 180 days | Patient notified of the approval | 38 CFR 17.276(a)(3) |
| Retroactive CHAMPVA eligibility | 180 days | Patient notified of eligibility (the Guidebook refers to the first ID card) | 38 CFR 17.276(a)(4) |
| Primary insurer delayed the claim | Written good-cause exception, case by case | No fixed clock | 38 CFR 17.276(b) |
| VA asks for more information | 1 year | Date on the EOB or letter | VA claim page |
| Higher-Level Review of a denial | 1 year | Date of the decision | VA decision review page |
The single most expensive misunderstanding is this: the clock keeps running while a primary insurer works the claim. Waiting for another plan’s EOB does not buy extra time. Later sections show how to protect secondary claims.
What Is CHAMPVA and Why Does Timely Filing Matter?
CHAMPVA covers the spouses, surviving spouses, and children of eligible veterans, such as veterans with a permanent and total service-connected disability rating. It is not TRICARE, it is not VA health care for the veteran, and it is not Medicare, although it frequently pays after Medicare.
For most practices, CHAMPVA appears as a secondary payer on a patient who is already on your schedule. That is exactly why the deadline hurts. A primary claim goes out promptly, the secondary claim waits, and the one-year clock from the date of service quietly runs down.
Timely filing denials are among the most avoidable denials in medical billing, because they are almost never a clinical or coding dispute. They are a process failure. Once a CHAMPVA claim passes the deadline without an approved exception, the practice absorbs the loss. A strong medical billing process treats the filing clock as a tracked field on every claim, not an afterthought.
How the 1-Year CHAMPVA Filing Rule Works
The one-year rule covers almost every claim you will send. The only question is which date starts the clock.
Outpatient and professional claims start on the date of service
Professional claims go on the CMS-1500 form or the 837P electronic format. VA expects the specific date of each service. Each service line carries its own deadline, so the earliest date of service on a claim decides how fast that claim must go out. An office visit on March 10, 2026 must reach VA by March 10, 2027.
Inpatient claims start on the discharge date
Facility claims billed on the UB-04 or 837I run from discharge, not admission. A patient admitted January 4, 2026 and discharged January 19, 2026 gives the hospital until January 19, 2027. VA ties the discharge rule to inpatient facility care and does not spell out how it treats professional fees billed during a stay. The safe practice is to count each professional claim from its own date of service, so a hospitalist visit on January 4 works to January 4, 2027.
VA counts the day it receives the claim
For the CHAMPVA claims timely filing limit, the date that matters is receipt. VA’s CHAMPVA provider fact sheet states that claims must be received within one year, so your transmission date and a postmark do not protect you. VA also notes that paper claims take roughly 20 additional days to pay.
A clearinghouse rejection means VA never received the claim, and the clock kept running while it sat in a rejection report. Save the claim-level 277CA acknowledgment for every CHAMPVA claim, because a 999 only proves the clearinghouse accepted your file. If your team already works Medicare, the habit is familiar: Medicare also counts the day the contractor receives the claim.
Why billers count 365 days instead of “one year”
The regulation says one year, while VA’s denial code guidance says 365 days. Both give the same date unless the window crosses a leap day. The next leap day is February 29, 2028, so a visit on March 1, 2027 reaches day 365 on February 29, 2028, one day earlier than a calendar-year count suggests. Set your practice management system to 365 days and the question disappears.
| Claim | Start date | Work-to date (365 days) | Why |
|---|---|---|---|
| Office visit | March 10, 2026 (date of service) | March 10, 2027 | Standard outpatient rule |
| Inpatient facility claim, stay January 4 to 19, 2026 | January 19, 2026 (discharge) | January 19, 2027 | Discharge rule |
| Hospitalist visit, January 4, 2026, same stay | January 4, 2026 (date of service) | January 4, 2027 | Count professional fees from their own date |
| Office visit | March 1, 2027 (date of service) | February 29, 2028 | Leap day inside the window |
The Two 180-Day Retroactive Filing Windows
Two situations give you 180 days instead of the standard year, and in both the clock starts when VA notifies the patient. The safe habit is to file before whichever date comes first.
Retroactive approval of a service or supply
Under 38 CFR 17.276(a)(3), the claim is due 180 days after VA notifies the patient that it approved the service after the fact. Get a copy of the approval notice and put day 180 on the calendar the day it arrives.
Prior authorization is required for only a short list of CHAMPVA services. VA’s provider page names dental care, organ and bone marrow transplants, and most mental health and substance abuse services, with requests going to 833-930-0816. For care that has already been delivered, VA routes retroactive requests through its decision review process.
Retroactive CHAMPVA eligibility
CHAMPVA can pay older claims when VA grants eligibility retroactively. Under 17.276(a)(4), claims for care on or after the first eligibility date are due 180 days after VA notifies the patient. The CHAMPVA Guidebook describes the same window as 180 days after VA issues the first CHAMPVA ID card. If the notice date and the card date differ, work from the earlier one and keep copies of both.
Retroactive eligibility often follows a veteran’s disability rating that VA approves with an earlier effective date. Suppose VA notifies the family and issues the card on October 1, 2026, with coverage effective July 1, 2025. A visit on August 10, 2025 passed its normal one-year date on August 10, 2026, but under the 180-day rule the claim can still be filed until March 30, 2027, provided the service is otherwise covered.
To verify CHAMPVA eligibility, send a 270 inquiry to payer ID VAHAC or call VA’s 24-hour line at 888-820-1756, and record the effective date. Strong benefit verification at scheduling flags these patients before their old claims age out.
Care before the qualifying event is never payable
Under 17.276(c), CHAMPVA will not reimburse services from before the event that made the patient eligible, however far back VA sets the effective date. Retroactive eligibility also does not override coverage or preauthorization rules. Before rebilling, sort old claims into care on or after the effective date and care before it.
CHAMPVA Timely Filing for Secondary Claims
CHAMPVA pays after almost every other plan, but the one-year clock from the date of service keeps running while the primary works the claim.
When is CHAMPVA primary?
Under 38 CFR 17.272, CHAMPVA pays first against four payers: Medicaid, State Victims of Crime Compensation Programs, the Indian Health Service, and CHAMPVA supplemental policies. Against any other plan, CHAMPVA is secondary. For a patient with Medicare and CHAMPVA, Medicare pays first. A patient with Medicare Advantage gets the plan’s decision before CHAMPVA’s, and so does a patient with employer coverage.
That Medicaid exception matters for providers who enroll with state programs. If you treat dual-covered families, make sure your Medicaid enrollment is complete and current; our Alabama Medicaid provider enrollment guide walks through documentation and revalidation step by step.
The clock keeps running while the primary processes
CHAMPVA generally will not pay until the other insurer issues its final decision. VA’s CHAMPVA provider page asks for adjudicated EOBs from every primary and secondary plan, with each billed service shown even if the plan did not cover it.
Run the numbers on a real example. The primary’s EOB posts on day 340 after the date of service. Your team has 25 days left to get the CHAMPVA claim to VA, and a single clearinghouse rejection could use up most of that time.
Stale other-health-insurance (OHI) records stall these claims too. If CHAMPVA’s file lists a plan the patient has dropped, the patient updates it with VA Form 10-7959c, the Other Health Insurance Certification. Ask for that form at check-in rather than after the denial.
If a primary’s delay pushes the claim past day 365, your route is the written good-cause exception covered below. VA’s CHAMPVA Policy Manual has also asked for the claim within 90 calendar days of the other insurer’s decision in these cases, so confirm the current expectation with VA before relying on any single number.
Medicare crossover and the name-match trap
For patients with Medicare Parts A and B, Medicare forwards the claim to CHAMPVA automatically once VA has the Medicare number on file. The names on both cards must match letter for letter, or the crossover will not happen. Always check the Medicare remittance to confirm the claim actually crossed over. Medicare Advantage secondaries are different: file them to CHAMPVA yourself with the plan’s EOB.
When VA Accepts a Late Claim: The Good-Cause Exception
VA accepts a late claim only through a written request that shows good cause, reviewed case by case under 38 CFR 17.276(b). An approved exception excuses one claim. The CHAMPVA timely filing limit stays the same for everything else you bill.
Delays VA will consider
The regulation gives one example. With dual coverage, CHAMPVA cannot figure its payment until the primary adjudicates, so VA may grant an exception when the primary’s delay was not the patient’s fault. VA does not publish a full list beyond that example, and its code 124 guidance refers to exceptional circumstances. Outside the primary-delay case, approval depends on your facts and your paper trail.
Delays VA will not excuse
The regulation is explicit that delays caused by provider billing procedures are not a valid basis for an exception. In a billing office, that rules out the usual reasons a claim goes late:
- A claim held for a coding question
- Charge entry that ran behind
- Staff turnover or vacation coverage gaps
- A clearinghouse rejection nobody worked
- Other insurance that nobody captured at check-in
None of these will move a reviewer, so the fix belongs in your workflow before the claim ages.
What a written exception request needs
Build the request so a reviewer understands your delay from the first page:
- Patient name, claim number, date of service or discharge, and the deadline you missed
- A dated timeline of what happened and when
- Proof of when you billed the primary plan, such as its claim number or acknowledgment
- The primary’s correspondence and your call log, with representative names and reference numbers
- The primary EOB showing its decision date
- The date you filed with CHAMPVA after the obstacle cleared
Call logs win these requests, so start keeping them before you need one. VA’s code 124 guidance directs written appeals to VHA Office of Integrated Veteran Care, ATTN: Appeals, PO Box 600, Spring City, PA 19475.
Denial Code 124: What a CHAMPVA Timely Filing Denial Looks Like
According to VA’s family member claim denial codes, code 124 means the claim was not timely filed: it must reach VA within 365 days of the date of service, and a written appeal is possible if there were exceptional circumstances. Your clearinghouse ERA may show the industry code CARC 29, which means the filing time limit expired. Check both the VA EOB and the 835 before assuming one maps cleanly to the other.
How to triage a code 124
- Recount the deadline from the date of service or discharge, using 365 days.
- Pull proof that VA received the claim in time, such as a VA claim number or a claim-level 277CA, and request review with it.
- Check whether a primary insurer caused the delay, and send the written exception if one did.
- If none of that applies, write the claim off and fix the step that let it age. The patient cannot be billed for it.
Related denial codes that burn filing days
These codes do not mean late yet, but each one eats days off the 365 while you fix it.
| VA code | What VA says it means | What to do | Why it threatens the deadline |
|---|---|---|---|
| 78 | EOB from other insurance required | Resubmit with the primary EOB from each plan | Every week chasing the EOB comes off the 365 days |
| 218 or 220 | Other health insurance information missing or incomplete | Patient submits VA Form 10-7959c or updates OHI | VA will not process the claim until it arrives |
| 278 | More than one primary plan | Resubmit with EOBs from each primary | The second EOB is often the slow one |
| 137 | Not eligible on the date of service | Verify eligibility and dates; check for retroactive eligibility | A later approval may open the 180-day window |
| 224 | Additional documentation required | Resubmit with documents and the CHAMPVA EOB | The resubmission still has to arrive in time |
| 65, 159, or 177 | Duplicate claim | Do not resubmit unless told to; call if it is not a duplicate | Repeat submissions waste days and draw more denials |
| CARC 299 with RARC N24 | Payment held until EFT enrollment | Enroll in EFT; do not resubmit | No filing risk, but resubmitting creates duplicates |
A stack of code 124s is not always a write-off. When a primary payer caused the delay, some of those claims are still recoverable, and good denial management sorts the recoverable ones from the dead ones before anyone builds an appeal packet. Because many denials start with a code or modifier error, denial management backed by accurate medical coding is the cheapest protection you can buy.
CHAMPVA Appeal Timely Filing Limit and Decision Review Options
The CHAMPVA appeal deadline depends on the route you choose. Under VA’s decision review options, you pursue one route at a time.
| Route | Form | Deadline | What it needs |
|---|---|---|---|
| Higher-Level Review | VA Form 20-0996 | Within 1 year of the decision | No new evidence; a senior reviewer looks for an error |
| Supplemental Claim | VA Form 20-0995 | Anytime | New and relevant evidence, or a change in law |
| Board of Veterans’ Appeals | Board appeal | Per VA’s Board appeal instructions | A Veterans Law Judge reviews the decision |
Mail Higher-Level Review and Supplemental Claim requests to VFMP Appeals, PO Box 600, Spring City, PA 19475. There is no single CHAMPVA appeal form; VA Form 20-0998 explains your review rights and each option.
Picking the right route for a code 124
A 277CA or VA claim number the reviewer never saw counts as new evidence, which points toward a Supplemental Claim. If VA had your dates and counted them wrong, a Higher-Level Review fits. Date the request from the CHAMPVA EOB or decision letter. A claim that missed the deadline with no proof of timely receipt belongs in the written good-cause exception instead, since sending it through a review only adds weeks before you hear the same answer.
The old reconsideration rule applies only to legacy claims
38 CFR 17.277 still describes a written reconsideration within one year of the EOB, followed by a second review within 90 days. The section limits itself to legacy claims, so payer summaries that present it as the current process for new denials are out of date.
Requests that do not need an appeal
VA says you do not need a decision review to send missing documents, an OHI EOB, or proof of payment. If VA sends an EOB or letter asking for information, VA’s CHAMPVA claim page gives you one year from the date on it to respond. An appeal would only slow those claims down.
Corrected Claims and Resubmissions
VA’s provider materials do not publish a separate deadline for corrected CHAMPVA claims, so treat the original 365 days from the date of service or discharge as your limit. A correction does not restart the clock.
VA expects the CHAMPVA EOB to accompany each resubmission and warns that a claim number alone can delay processing or create a duplicate. A claim rejected at the clearinghouse never reached VA, so VA treats it as a first submission on the day it lands. A denied claim did reach VA, and its receipt date becomes your proof if a corrected version later draws a code 124. VA’s public pages do not spell out claim frequency codes for CHAMPVA corrections, so confirm with Optum Insight before relying on a replacement code alone, and fix known errors the day you find them rather than waiting for the remit.
Can You Bill the Patient After a Missed CHAMPVA Deadline?
No. VA’s CHAMPVA Policy Manual says a provider cannot seek payment from the beneficiary when the provider misses the filing deadline and VA does not grant a waiver. The loss stays with the practice.
A separate rule covers balance billing. Under 38 CFR 17.272(b)(3), a provider who accepts a CHAMPVA patient agrees to take the CHAMPVA allowable as full payment, which ends the patient’s liability. Trying to collect more can put a provider at risk of exclusion from federal benefit programs.
There is one exception, and it happens before the visit. If you tell the patient in advance that you do not accept CHAMPVA, collect the full charge up front, and let the patient file the claim, balance billing rules do not apply. That choice cannot rescue a claim your office filed late. Write the claim off, then find the step that let it age, because the same gap will cost you on the next CHAMPVA patient.
CHAMPVA vs TRICARE, Medicare, VA Community Care, and FMP Deadlines
There is no single “VA timely filing limit.” The deadline depends on which program pays, and the CHAMPVA window is one of five that a front desk can easily mix up.
| Program | Who it covers | Filing deadline | Clock starts |
|---|---|---|---|
| CHAMPVA | Spouses, surviving spouses, and children of eligible veterans | 1 year (365 days); 180 days after retroactive approvals | Date of service or discharge |
| TRICARE | Service members, retirees, and their families | 1 year; 3 years overseas | Date of service or discharge |
| Original Medicare | Medicare beneficiaries | 12 months | Date of service |
| VA Community Care Network | Veterans VA refers to community care | 180 days | Date care was furnished |
| Foreign Medical Program | Veterans with service-connected conditions treated abroad | 2 years | Date of service or discharge |
CHAMPVA and TRICARE share a one-year window, but a patient eligible for TRICARE is not eligible for CHAMPVA, and a claim sent to the wrong program still burns days. The 180-day Community Care deadline applies to care VA refers for the veteran. If someone in your office quotes a 180-day limit for a family member, check which program is actually on the card.
How to Build a CHAMPVA Filing Workflow That Keeps Claims on Time
Late CHAMPVA claims are usually queue problems more than rule problems. Seven checkpoints, run on every claim, keep the account inside 365 days.
- Capture coverage at check-in. Record CHAMPVA and any other plan. The patient’s name must match the CHAMPVA card, and the member ID is the beneficiary’s own Social Security number, not the veteran’s.
- Verify eligibility before the visit. Send a 270 to payer ID VAHAC or call 888-820-1756, and note the effective date.
- Bill the primary plan within days. The CHAMPVA clock started on the date of service, so the primary claim should not wait.
- Submit electronically. Use payer ID 84146 (dental 84147). VA says paper adds about 20 days to payment.
- Work rejections the day they appear. Save each claim-level 277CA.
- Track status and set alerts. Check status with 276/277 transactions and set internal alerts at days 180, 270, 300, and 330. Those thresholds are workflow targets, not VA rules.
- Enroll in EFT. Without it, payments sit on hold under CARC 299 and RARC N24.
Most aging reports bucket claims at 30, 60, and 90 days. For CHAMPVA, build the queue around day 365 instead, so the oldest secondary claims surface first.
Credentialing matters upstream
CHAMPVA has no provider network, so there is nothing to credential with CHAMPVA itself. But the primary payers that must pay first, including Medicare, Medicaid, and commercial plans, all require clean enrollment. If a primary payer denies a claim because the provider was not enrolled or loaded correctly, the CHAMPVA clock keeps running while you fix it. Providers in Pennsylvania can start with our insurance credentialing in Pennsylvania guide, and the same discipline applies in every state.
CHAMPVA Claim Submission Quick Reference for Providers
The details below come from VA’s CHAMPVA provider page. Verify them before building a payer table, since VA updates contact details periodically.
| What you need | Detail |
|---|---|
| Electronic medical claims | Payer ID 84146 through Optum Insight (837P or 837I) |
| Electronic dental claims | Payer ID 84147 |
| Real-time eligibility | Payer ID VAHAC (270/271) |
| Claim status | 276/277 through VA’s clearinghouse |
| Optum Insight support | 866-678-8646, Monday to Friday, 8 a.m. to 8 p.m. ET |
| Provider paper claims | VHA Office of Integrated Veteran Care, CHAMPVA Claims, PO Box 30750, Tampa, FL 33630-3750 |
| Patient-filed claims only | VHA Office of Integrated Veteran Care, CHAMPVA Claims, PO Box 500, Spring City, PA 19475 |
| Appeals and decision reviews | PO Box 600, Spring City, PA 19475 |
| Eligibility by phone | 888-820-1756, 24 hours a day |
| Preauthorization | 833-930-0816 |
| CHAMPVA customer service | 800-733-8387, Monday to Friday, 8:05 a.m. to 7:30 p.m. ET |
| Claim forms | CMS-1500 or UB-04; VA Form 10-7959a is for patient claims only |
CHAMPVA provider claims mailing address
The address for provider paper claims is PO Box 30750, Tampa, FL 33630-3750. Patients mail their own reimbursement claims to PO Box 500, Spring City, PA 19475, which is why both addresses appear on VA pages. Mail sent to the wrong box loses days you may not have, and filing electronically to the payer ID avoids the question entirely.
How Credexa Solutions Helps You Protect CHAMPVA Revenue
CHAMPVA deadlines are simple on paper and unforgiving in practice. The practices that lose money to code 124 are rarely ignorant of the rule; they simply lack a system that tracks every payer’s clock on every claim.
Credexa Solutions supports providers across the revenue cycle with medical billing, denial management built on accurate coding, and provider enrollment and credentialing. For CHAMPVA and other secondary payers, that means:
- Deadline-driven follow-up: claims are worked by filing deadline, not just by age bucket, so secondary claims never sit unnoticed.
- Clean first-pass claims: accurate codes, modifiers, and demographics reduce rejections that quietly consume filing days.
- Denial recovery: when a code 124 or related denial arrives, recoverable claims are separated from true write-offs and appealed with the right evidence.
- Enrollment support: correct credentialing with primary payers keeps the payment chain intact so CHAMPVA can pay after them.
If your CHAMPVA or secondary-payer claims are aging in a queue, visit Credexa Solutions to talk with a team that can review your accounts receivable and tell you what is still recoverable.
CHAMPVA Timely Filing FAQs
What is the CHAMPVA timely filing limit?
The limit is one year from the date of service, or one year from discharge for inpatient care, under 38 CFR 17.276. Retroactive approvals and retroactive eligibility get 180 days from the date VA notifies the patient. VA counts the day it receives the claim, so set your system to a 365-day count.
How far back can I submit claims to CHAMPVA?
Under the standard rule, up to 365 days after the date of service or discharge. After retroactive eligibility, you can file care on or after the effective date within 180 days of VA’s notice. Care from before the event that made the patient eligible is not payable.
Does CHAMPVA backdate coverage?
Yes, in some cases. If VA approves eligibility retroactively, coverage can reach back to the effective date VA sets, often after a veteran’s disability rating is approved with an earlier effective date. Normal coverage rules still apply, including preauthorization.
Does waiting for the primary insurance EOB extend the CHAMPVA deadline?
No. The one-year clock runs from the date of service, and a late primary EOB does not start a new one. If the primary’s delay pushes a claim past the deadline and the delay was not the patient’s fault, you can send VA a written good-cause exception with the primary’s dates and correspondence. Delays in your own billing process do not qualify.
What is the CHAMPVA timely filing limit for secondary claims?
Secondary claims follow the same rule: one year from the date of service or discharge. CHAMPVA pays after the other insurer’s final decision and needs adjudicated EOBs from each primary plan, so bill the primary within days of the visit.
Do corrected CHAMPVA claims get a new filing deadline?
No. VA publishes no separate window for corrected claims, so the original 365 days still apply. Include the CHAMPVA EOB with every resubmission.
What is the CHAMPVA appeal timely filing limit?
A Higher-Level Review request must reach VA within one year of the decision. A Supplemental Claim has no deadline but requires new and relevant evidence, and a Board appeal is the third route. The one-year reconsideration in 38 CFR 17.277 applies only to legacy claims.
Can you bill a patient for a CHAMPVA timely filing denial?
No. VA’s policy bars providers from seeking payment from the patient when the provider misses the deadline and VA does not grant a waiver. Under 38 CFR 17.272(b)(3), accepting a CHAMPVA patient also means accepting the CHAMPVA allowable as full payment.
Who pays first, CHAMPVA or Medicare?
Medicare pays first and CHAMPVA pays second. For Parts A and B, Medicare forwards the claim to CHAMPVA when the names on both cards match. CHAMPVA pays first only against Medicaid, the Indian Health Service, State Victims of Crime Compensation Programs, and CHAMPVA supplemental policies.
Who processes CHAMPVA claims?
The VHA Office of Integrated Veteran Care. Providers file electronically through Optum Insight to payer ID 84146 (84147 for dental) or mail paper claims to PO Box 30750, Tampa, FL 33630-3750.
Do all hospitals have to accept CHAMPVA?
Medicare-participating hospitals must accept the CHAMPVA allowable as payment in full for inpatient services under 38 CFR 17.272(b)(2). Other providers decide for themselves, but once they accept a CHAMPVA patient they cannot bill the difference.
Final Takeaways: Protect Every CHAMPVA Claim Before Day 365
Three habits keep nearly every claim inside the CHAMPVA timely filing limit: count 365 days in your system, bill primary plans the same week as the visit, and clear clearinghouse rejections daily. Pair them with proof of receipt on every claim, a written exception packet ready for primary-payer delays, and a workflow that surfaces your oldest secondary claims first.
If your team has outgrown its queue, Credexa Solutions can help you track every payer clock, reduce denials, and keep revenue from slipping past a deadline.
Sources
- 38 CFR 17.276, Claim filing deadline (eCFR)
- 38 CFR 17.277, Appeals (eCFR)
- 38 CFR 17.272, Benefits limitations and exclusions (eCFR)
- VA CHAMPVA provider page
- VA family member claim denial codes
- VA decision reviews and appeals, family member care
- VA CHAMPVA provider fact sheet
- VA CHAMPVA Guidebook
- VA: How to file a CHAMPVA claim
