Claims Information
Explore this page for self-service options and helpful tips you need to manage your VA CCN billing and claims.
Assignment of Benefits Required for CCN Claims
TriWest will begin conducting quarterly audits in late October 2024 to ensure an Assignment of Benefits is on file for each Veteran patient.
VA Referral Number Required – 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.
Don't know the VA referral number?
Use this VA Referral Number Lookup Tool to find it.
Submit Basic Claims Inquiries 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.
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?
Check Claim Status or VA Referral Number Online Anytime.
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
Electronic Enrollment Option for EFT/ERA
Say goodbye to faxing and mailing forms with electronic enrollment in a new fast, secure app on the Availity Essentials page.
If you are unable to enroll electronically, complete and submit the paper form PGBA EFT/ERA Enrollment Package via fax or mail.
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.
Helpful Claims Resources
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