VA Form 10-10172. COMMUNITY CARE PROVIDER - REQUEST FOR SERVICE.: Fill out & sign online

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Versions	Form popularity	Fillable & printable
VA Form 10-10172 2021	4.8 Satisfied (46 Votes)
VA Form 10-10172 2019	4.3 Satisfied (261 Votes)

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What is standard episode of care?

The Care Coordination (CC) Standardized Episodes of Care (SEOC) is a reference database for managing care bundles for use by Veterans Information Systems and Technology Architecture (VistA) and other Department of Veterans Affairs (VA) systems.

What is an RFS form for VA?

Request for Service (RFS) Requirements The purpose of the Community Care Provider-Request for Service, VA Form 10-10172, is to manage requests from community providers and to allow for placement, tracking, managing, and reporting of those requests. Approved care may be performed within VA or at community facilities.

What is the preferred method for capturing the veteran's preferred community care provider?

Finding a Community Provider To find a community provider, please use the VA Facility Locator. If there is a specific community provider a Veteran would like to see that is not in VA's network, VA may be able to add them to its network.

What is VA form?

The VA Form 9, also known as the Substantive Appeal Form, is a crucial step in the appeals process. It arrives with your Statement of the Case (SOC) when the VA renders a decision on your appeal. The VA Form 9 gives you the chance to contest information on the SOC and present additional evidence.

Does VA insurance require prior authorization?

VA is required by law to bill Third Party Payers (TPP) for care that is not related to a Veteran's service-connected disability or Special Authority. This requires VA to call TPPs for precertification for patients who are VHA beneficiaries with other billable health insurance (OHI).

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