⚕ Beta Tool

CHAMPVA Provider Search

Find healthcare providers who may accept CHAMPVA — VA health coverage for spouses, children, and survivors of eligible Veterans.

Last updated: September 21, 2026 · Provider data from the CMS file dated August 18, 2026

Important: CHAMPVA has no provider network and no contracts. This list comes from CMS Medicare enrollment data (clinicians enrolled in Medicare). Being listed does not mean a provider accepts CHAMPVA — acceptance is each provider's choice, so always call ahead to confirm before your appointment. This is an informational tool, not an official VA site. VetSpouseBenefits is independent and is not affiliated with or endorsed by the U.S. Department of Veterans Affairs.
📋 Help a Provider Start Accepting CHAMPVA — If your provider takes Medicare, hand them this one-page script. They can start accepting CHAMPVA today. →
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Data sourced from the CMS Doctors and Clinicians National Downloadable File.

Billing Comparison: Medicare vs. CHAMPVA

This side-by-side helps billing staff understand what changes (and what doesn't) when adding CHAMPVA. No contract or network enrollment is required — CHAMPVA has no provider network.

MedicareCHAMPVA
PayerCMS / Regional MACVHA Office of Integrated Veteran Care
Electronic Payer ID (medical)Varies by region84146
Electronic Payer ID (dental)Varies by region84147
Electronic claim formats837 I/P transactions837I, 837P, 837D through the VA clearinghouse (Optum Insight) · 276/277 claim status
Paper claims addressRegional MAC addressPO Box 30750, Tampa FL 33630-3750
Fee scheduleMedicare ratesGenerally based on Medicare rates (CHAMPVA allowable amount)
Prior authorizationSome servicesInpatient mental health care, care for alcohol or substance use disorders, certain dental care, organ transplants, Wegovy & Zepbound. Outpatient mental health visits do not require preauthorization.
Patient responsibility20% after the Part B deductible25% of the CHAMPVA allowable amount after a $50/person ($100/family) yearly deductible; no deductible for inpatient care; $3,000 yearly household cap
Balance billingNot permitted on assigned claimsNot permitted once you accept CHAMPVA — the allowable amount is payment in full
Coordination with MedicareN/ACHAMPVA is secondary — Medicare pays first
Claim filing deadline1 year from date of service1 year from date of service (or discharge, for inpatient stays)
VA phone numbers for CHAMPVA providers VA Customer Call Center (billing, general questions): 1-800-733-8387 · Mon–Fri, 8:05 AM – 7:30 PM ET
Eligibility verification: 1-888-820-1756 · 24/7  |  Preauthorization requests: 1-833-930-0816
Electronic claims support (Optum Insight, the VA clearinghouse): 1-866-678-8646 · Mon–Fri, 8 AM – 8 PM ET

Submit electronic claims through the VA clearinghouse, Optum Insight — use Payer ID 84146 for medical, 84147 for dental. Electronic claims are paid faster than paper.

Preauthorization required for: Inpatient mental health care · Care for alcohol or substance use disorders · Certain dental care · Organ transplants · Wegovy and Zepbound. Get preauthorization before providing these services. Outpatient mental health visits do not need preauthorization — VA removed that requirement in May 2024.

Weight-loss drugs: CHAMPVA does not cover GLP-1 medications prescribed for weight loss. They are covered only for FDA-approved uses (type 2 diabetes, sleep apnea, MASH, or preventing major cardiovascular events), and Wegovy and Zepbound need prior authorization. OptumRx pharmacy help desk: 1-888-546-5503

Other insurance: CHAMPVA is always the secondary payer, except to Medicaid, Indian Health Service, State Victims of Crime Compensation, and supplemental CHAMPVA policies.

Official VA CHAMPVA Provider Information →