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The document is a notification form for the Spokane VA Medical Center regarding an emergency room or observation event for veterans. It includes sections for hospital details, physician information, patient diagnosis, and insurance information. The veteran or family member must sign to request payment from the VA for the care received, acknowledging potential transfer to a VA facility if eligible. The form also contains sections for internal VA use regarding authorization and eligibility.

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What is the number for the VA emergency room notification?

through VAs Emergency Care Reporting (ECR) portal, . va.gov, or by calling 844-72HRVHA (844-724-7842). (VAMC) to coordinate follow-on care and transfer activities, if necessary.

How to report an er visit to VA?

Emergency Treatment to VA through VAs Emergency Care Reporting (ECR) portal, . va.gov, or by calling 844-72HRVHA (844-724-7842). (VAMC) to coordinate follow-on care and transfer activities, if necessary.

How do I notify the VA I went to the ER?

Through our VA emergency care reporting portal, or. By calling us at 844-724-7842 (TTY: 711)

How do I notify the VA of an ER visit?

Ask the provider to notify us right away in either of these ways: Through our VA emergency care reporting portal, or. By calling us at 844-724-7842 (TTY: 711)

How to get the VA to cover an er visit?

If you get a bill for emergency care at a non-VA facility and you think we should cover the cost, we can help. Call us at 877-881-7618 (TTY: 711).

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What is a VA form 10 10172?

Community Care Provider-Request for Service (RFS), VA Form 10-10172, is used to request additional services or continued care from VA. The requested care may be performed within VA or in the community based on a Veterans eligibility. The signed RFS is required to facilitate care review and authorization.

Can VA patients go to the ER?

If you believe your life or health is in danger, call 911 or go to the nearest emergency department (ED) right away. Veterans do not need to check with VA before calling for an ambulance or going to an ED. During a medical emergency, VA encourages all Veterans to seek immediate medical attention without delay.

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