New requirements for submission of medical documentation for VA claims

Where to Send Medical Documentation Changes May 1!

Starting May 1, 2019, the Department of Veterans Affairs (VA) will begin requiring providers to send medical documentation to their authorizing VA Medical Center (VAMC) instead of TriWest.

This change will affect providers in VA PC3 Regions 3, 5 and 6, which are TriWest’s legacy regions. VA PC3 Regions 1, 2 and 4 are already sending their medical documents directly to VA. Providers can find their authorizing VAMC on the first page of their TriWest authorization letters.

After the May 1 deadline, any providers who try to upload medical documentation to the TriWest Provider Portal may find that function disabled.

Providers Have a ‘Grace Period’

To help ease the transition, TriWest has agreed to a “grace period” between May 1 and June 30, 2019. During this time, TriWest will continue processing medical documentation it receives in error, but will soon stop accepting medical documents except when specifically requested for quality reviews.