38 C.F.R. § 17.125

Where to file claims

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Generally, VA must preauthorize VA payment for health care services provided in the community when such care is provided in a State as that term is defined in 38 U.S.C. 101(20).

(a) Where VA payment for such services has not been authorized in advance, claims for payment for such health care services provided in a State should be submitted to the VA medical facility nearest to where those services were provided.

(b) Claims for payment for hospital care and outpatient services authorized under § 17.35(a) and provided in Canada must be submitted to Veterans Affairs Canada, Foreign Countries Operations Unit, 2323 Riverside Dr., 2nd Floor, Ottawa, Ontario, Canada K1A OP5.

(c) All other claims for payment for hospital care and outpatient services authorized under § 17.35(a) and provided outside a State must be submitted to the Foreign Medical Program, P.O. Box 469061, Denver, CO 80246-9061.

[83 FR 29448, June 25, 2018]

Notes of Decisions

Cited in 1 case, 1997–1997 · leading case: Lynch v. Gober, 11 Vet. App. 22 (Vet. App. 1997).

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Lynch v. Gober, 11 Vet. App. 22 (Vet. App. 1997). “38 C.F.R. § 17.125 (c) (1996) (identifying VAMC at the VAMROC as a separate entity by providing that claims for reimbursement for medical treatment for services rendered in Canada “should be filed with the Chief, Medical Administration Service (136), Department of Veterans…”

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