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Claims Information

Explore this page for self-service options and helpful tips you need to manage your VA CCN billing and claims.

Check Claims Status Online Anytime

Get real-time status updates at any time for an UNLIMITED number of claims. Log in to Availity. Select Claims & Payments at the top, then Claim Status. Check multiple claims and view remittances online.

No Availity Account?

Use this Claim Status Lookup Tool for a quick status check, one claim at a time.

 

Submit Basic Claims Inquires to TriWest

You can request an unlimited number of claims status updates, referral lookups, check void and reissue requests, check copies, and PRA copies online. Complete the form below and email it to ClaimsInquiriesForm@TriWest.com. Receive a detailed response back from one of our highly trained claims analysts within four business days.

 

Avoid Common Errors

The VA referral number is required on all VA claims except urgent care. Claims without the VA referral number will be denied.

Avoid the top 3 most common errors in VA claims processing.

Set Up Electronic Claims Processing

Enroll in EDI with PGBA to establish electronic claims processing. Complete and submit the PGBA EDI Provider Trading Partner Agreement form.

Have questions about setting up EDI with PGBA? Read this EDI FAQ.

Already have a clearinghouse? Read this PGBA Claims FAQ.

Payer ID: TWVACCN

Establish Electronic Funds Transfer

Say goodbye to faxing and mailing forms with electronic enrollment in a new fast, secure app on the Availity Essentials page. If you’d like to enroll by fax/form, see the packet below.

Complete and submit the PGBA EFT/ERA Enrollment Package.

Learn More – Sign Up for Claims Training

Log in to Availity.com. Go to TriWest’s Payer Space. Select the TriWest Learning Center. Click on Sessions. Register for the “PGBA Claims” webinar.

Questions?

You can contact TriWest Provider Services at ProviderServices@TriWest.com or call TriWest’s toll-free CCN Contact Center at 877-CCN-TRIW (877-226-8749).

Address to Submit Paper Claims to PGBA

TriWest VA CCN Claims
PO Box 108851
Florence, SC 29502-8851

Updated: 5/1/2023 7:38:17 PM