Posted on Sep 7, 2023
While receiving community care, why don’t I get a referral letter?
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Community care got my shoulder replacement surgery done quickly and used the most current surgery method SWAT; I started physical therapy within the week of completed surgery but ended abruptly after about 2 months. The Physical Therapy office was not well educated on the VA process so I schooled them. The VA referral approval for more physical therapy sessions was auto filed at the doctor office and not forwarded to physical therapy - why can’t I get a copy sent to me at the same time it is sent to my physician?
Why do I need a copy of the Explanation of Benefits?
Why do I need a copy of the Explanation of Benefits?
Posted 8 mo ago
Responses: 3
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CPO Bobbi Jo Pickar agree... glad your surgery went well. I usually get a phone call from Optum for my Dental & Dermatology referrals. The EOB is for your records to confirm you received the service... and serves as a record for any future claims. Oh... I have many stories about dealing with C.F. but will not bore you. You may want to talk with your VA Patient Advocate about receiving written confirmations of your referrals. Good luck.
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The system used for scheduling/coordinating Community Care appts can send out appt letters and other types of letter. The actual referral, or voucher, is processed offline, so its not something that would automatically be sent to a patient. I would guess if you specifically asked for a copy it might be able to be mailed but would take a little effort. If you stop by the VA and speak to someone from Community Care I think they would be able to print you a copy right there. I know I would.
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I'm on community care for my knees, I don't get anything from VA regarding authorizations either. I can't find a way to find out about authorizations other than calling the provider. The EOB is just a record of treatment, but remember that some VA members have a copay. I keep my copies as part of my records.
Here is the VA website on Community Care. I don't see an answer to your question. https://www.va.gov/COMMUNITYCARE/programs/veterans/General_Care.asp
Here is the VA website on Community Care. I don't see an answer to your question. https://www.va.gov/COMMUNITYCARE/programs/veterans/General_Care.asp
Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.
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