VA Community Care Network (Optum) · Health Care Claim — Professional

Implementation notes for feeding the 837P transaction to VA Community Care Network (Optum).

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "VACCN",
  "versionId": "005010X222A1",
  "gsCode": "HC",
  "usageIndicator": "P"
}

Required fields

REF/REF02 — VA-issued referral / authorization number (REF*G1) at 2300

Fixed values

None.

Regions 1-3 route through Optum VACCN clearinghouse; Regions 4-5 through TriWest.