VA Community Care billing.
Built into ChiroDNA.
ChiroDNA handles VA CCN billing natively - CCN claim formats, authorization tracking, TriWest and Optum routing, and ERA auto-posting. No separate system. No manual payer setup.
What is VA Community Care chiropractic billing?
The Veterans Affairs Community Care Network (VA CCN) allows veterans who qualify to receive chiropractic care from approved civilian providers. Participating chiropractic practices bill the VA through a regional CCN administrator - either TriWest Healthcare Alliance (Regions 1–4, western US) or Optum (Regions 5–6, eastern US).
VA CCN billing differs from commercial insurance billing in several important ways: claims must use CCN-specific payer IDs, each patient requires a VA-issued authorization with a specific visit count and expiration date, and SOAP documentation must meet VA's clinical documentation standards.
ChiroDNA handles all of this automatically. VA patients are identified in the scheduling and billing workflow, authorization limits are tracked per patient, claims are routed to the correct CCN administrator, and ERAs are auto-posted when payment arrives.
How ChiroDNA handles VA billing
CCN claim formatting
CMS-1500 claims formatted with the correct CCN payer IDs for TriWest (western regions) and Optum (eastern regions). Applied automatically per patient.
Authorization tracking
Per-patient authorization records with visit count, remaining visits, and expiration date. Alerts sent when authorization is nearing limits or expired.
VA patient identification
Whitney (AI calling agent) identifies VA Community Care inquiries and routes them for priority handling. VA patients flagged throughout the workflow.
ERA auto-posting
Electronic remittances from TriWest and Optum are automatically matched to claims and posted. VA-specific contractual adjustments handled correctly.
SOAP documentation support
VA-appropriate SOAP templates available. AI SOAP note generator trained on VA documentation requirements for chiropractic care.
Unified billing center
VA billing managed alongside commercial insurance, PI, Medicare, and cash in one unified billing center - no separate system or login needed.
VA CCN regions supported
ChiroDNA supports billing to both VA CCN administrators across all regions of the United States.
TriWest Healthcare Alliance
Regions 1–4 (Western US)
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (west), Utah, Washington, Wyoming, and associated territories.
Optum
Regions 5–6 (Eastern US)
Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (east), Vermont, Virginia, West Virginia, Wisconsin, and DC.
VA Chiropractic Billing - Questions Answered
What is VA Community Care chiropractic billing?+
VA Community Care (CCN) is the Veterans Affairs program that allows veterans to receive chiropractic care from approved civilian providers in their community. ChiroDNA handles VA Community Care billing natively: CCN-specific claim formats, authorization tracking, community care network payer IDs, and ERA reconciliation - all in the same billing center used for commercial insurance.
Does ChiroDNA work with VA Community Care Network (CCN)?+
Yes. ChiroDNA is configured to work with the VA Community Care Network (CCN), administered by Optum/TriWest. Claims are submitted in the correct CMS-1500 format with the appropriate payer IDs. Authorization requirements are tracked per patient, and ERA remittances from CCN are auto-posted.
How does ChiroDNA handle VA authorization tracking?+
Each VA patient in ChiroDNA has a dedicated authorization record: authorization number, approved visit count, remaining visits, and expiration date. The system alerts the front desk when a patient is nearing their authorized visit limit and flags cases where a new authorization request is needed before the next appointment.
Can ChiroDNA identify VA patients on inbound calls?+
Yes. Whitney, ChiroDNA's AI calling agent, is trained to identify VA Community Care inquiries during inbound calls. When a caller identifies as a veteran seeking chiropractic care through VA benefits, Whitney flags the call for priority routing to your VA case coordinator or front desk.
What CPT codes are used for VA chiropractic billing?+
VA Community Care chiropractic billing uses standard CMS CPT codes including 98940 (spinal manipulation, 1-2 regions), 98941 (3-4 regions), 98942 (5 regions), and associated evaluation and management codes for initial evaluations. ChiroDNA has these codes pre-configured with VA-specific billing rules applied automatically.
How does VA billing differ from commercial insurance billing?+
VA Community Care billing requires CCN-specific payer IDs, strict adherence to authorization limits, and often VA-specific documentation requirements in SOAP notes. ChiroDNA handles these payer-specific rules automatically: the correct payer ID is applied, authorization limits are enforced, and VA patients are flagged throughout the workflow.
Does ChiroDNA support both TriWest and Optum CCN regions?+
Yes. ChiroDNA is configured to support billing to both regional CCN administrators - TriWest Healthcare Alliance (Regions 1-4) and Optum (Regions 5-6). The correct payer routing is applied based on the patient's assigned region.
Serving veterans? ChiroDNA handles the billing.
VA Community Care billing, authorization tracking, and ERA posting - all built in.
No contracts · Cancel anytime · From $297/mo