Provider Pulse – September 2024
Register Now for Community Care Network Education
New to TriWest Healthcare Alliance (TriWest) and the Department of Veterans Affairs (VA) Community Care Network (CCN)? Uncertain of how CCN works? TriWest is here to help.
TriWest has created numerous training opportunities to help you better understand how CCN operates to ensure seamless care to your Veteran patients. This training walks providers through the CCN processes and procedures.
You can access TriWest’s full training program via its Payer Space on the Availity website. Topics that are covered include appointing and approved referrals and authorizations, claims submission, requests for services, and other CCN processes and procedures.
The training methods TriWest has available include:
- Webinars – live, interactive virtual classes where providers can ask questions in real time.
- MicroLearning Videos – short, bite-sized video snippets that cover various aspects of CCN.
- eSeminar Learning Paths – MicroLearnings based on a variety of topics that, when viewed consecutively, form a complete eSeminar.
Register for Training Now!
To register for CCN webinar sessions, login to Availity and sign up for an account for free. After logging into Availity, follow these steps:
- Navigate to the TriWest Payer Space
- Click on the TriWest Learning Center
- Register for the various CCN webinars at the times that work for you
Providers may also enroll in an on-demand eSeminar Learning Path by navigating to the TriWest Learning Center on Availity.
To learn more about these training opportunities, visit the Provider Training section of the CCN Provider Handbook or the TriWest Learning Center quick reference guide.
Veterans Crisis Line Available
Veterans who are in a mental health crisis or are thinking about hurting themselves need help right away. The Veterans Crisis Line connects Veterans with caring and qualified professionals within VA, many of whom are Veterans themselves. The line is available 24/7 for Veterans, family, and friends.
The Veterans Crisis Line can be reached in the following ways:
- Dial: 988 then press 1
- Text 838255
- Confidential Chat
Check Claims Status Electronically through Availity
Under CCN, providers can check the status of claims through Availity. This tool gives providers a more intuitive and robust workflow to check the claim status of Veteran patients.
Check claims status by following these steps:
- Login to Availity.
- Click on Claims & Payments located in the top-left corner of the screen.
- Under Claims & Payments, select the Claim Status option.
Providers can also search claims by member ID, tax ID service date, or claim number.
If you run into problems checking your claims status, login to Availity and use the secure "Chat with TriWest" feature or call TriWest Claims Customer Service at 877-CCN-TRIW (877-226-8749) from 8 a.m. to 6 p.m. in your time zone.
VA Storefront: The Online Hub for the Community Care Network
Need some information about VA CCN? Look no further than the VA Storefront, a special webpage dedicated to VA Community Care.
Devoted only to providers, this special section has information regarding the following:
- Request and coordinate care
- Care coordination overview
- Precertification requirements
- Request for Service (RFS) requirements
- Durable Medical Equipment (DME)/pharmacy requirements
The majority of tools that providers need to reference are on the left-hand navigation menu under the “For Providers” button, and then “Request and Coordinate Care.”
For more information on the VA Storefront, including screen shots of how to navigate it, please review the TriWest VA Storefront Quick Reference Guide.
VA CCN Provider Handbook Updates