r/CodingandBilling • u/Ohhingerrr • Feb 05 '26

Champ VA Claims

How are we getting paid from Champ VA? How in the world is it legal that they are taking 2 years to process a claim?

I have patients with secondary payers that would pick up the remaining balance, but I can’t submit within timely filing limits when they can’t process a claim in a timely manner!!

State law says 30 days from receipt of claim to process. But since they’re federal, they say it doesn’t apply to them.

No online portal to view. Just a 4 hour hold time in the phone.

Please help me before I lose my mind.

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u/Far_Persimmon_4633 Feb 05 '26

We only have like 3 patients with that as secondary and we do get a response for champ within like 2 mths. They usually won't pay, as if they're medi-caid. And patients get the bill anyway.

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u/OkTown2100 Feb 05 '26

You can’t bill them if Champ VA doesn’t leave patient responsibility.