Veterans Affairs Fee Basis Program
dentalmedical
Summary
Veterans Affairs Fee Basis Program is a dental and medical payer with nationwide coverage. Claims route under payer ID 12115, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
12115Also seen as 00231, 10196, 12115MA, 12116, 1507, 3887 and 1 more- Also known as
- VA Fee Basis Program
- Service area
- Nationwide
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Veterans Affairs Fee Basis Program?
- The payer ID for Veterans Affairs Fee Basis Program is 12115. Alternate IDs seen across clearinghouses include 00231, 10196, 12115MA, 12116.
- Does Veterans Affairs Fee Basis Program require ERA enrollment?
- Yes. Veterans Affairs Fee Basis Program requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Veterans Affairs Fee Basis Program cover?
- Veterans Affairs Fee Basis Program operates in Nationwide. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Veterans Affairs Fee Basis Program offer?
- Veterans Affairs Fee Basis Program covers dental and medical.
- Can I submit claims to Veterans Affairs Fee Basis Program electronically?
- Yes. Veterans Affairs Fee Basis Program is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.