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Provider Enrollment Coordinators

The on-ramp that helps community providers join VA Community Care pathways – so Veterans have a real choice.

Veterans Desk, Inc. is a Florida 501(c)(3) nonprofit building an education-first navigation hub so Veterans can find community providers when access is limited, or options feel closed. Our mission only works if providers can actually get enrolled, get credentialed, and operate “VA-ready.”

 

That’s why we created Provider Enrollment Coordinator Members: professionals who help providers move through the VA Community Care participation pathways with fewer wrong turns and fewer preventable delays.

Explore Providers
Explore Providers

Important!

Veterans Desk is not the U.S. Department of Veterans Affairs (VA) and cannot authorize care. VA eligibility and authorization rules control reimbursement, and network decisions are made by VA/VA contractors—not Veterans Desk. VA’s Community Care Network (CCN) is the preferred national network used to purchase community care for eligible Veterans. (Veterans Affairs)

Why Enrollment Coordinators exist

For a provider, “serving Veterans” often breaks down at the operational level:

Confusion

about which pathway to join

Incomplete Enrollment

Missed Precertification

Wrong Routing

claims routed to the wrong payer or filed late

PARTICIPATION MODELS

3 Ways Providers Can Participate

Community Care Network (CCN)

VA describes CCN as VA’s link to community providers and notes it’s organized into five regional contracts. (Veterans Affairs)

Providers sign up with the correct Third Party Administrator (TPA):

  • Regions 1–3: Optum
  • Regions 4–5: TriWest (Veterans Affairs)

Veterans Care Agreement (VCA)

VA states VCAs are used in limited situations when CCN services are not provided or not sufficient, and VCAs are between a community provider and a VA medical facility. (Veterans Affairs)

  • Episode Based

Urgent Care Network Participation

Urgent care participation has its own VA community care requirements (and still ties back to network participation). (Veterans Affairs)

Enrollment Coordinators help you pick the best path first—so you don’t waste months chasing the wrong doorway.

  • Pre-Authorized
  • No Referral needed

What Provider Enrollment Coordinators Do

Enrollment Coordinator Members support providers across five practical “work lanes.” Think of this as implementation, not theory.

Enrollment path mapping

We help you determine:

  • CCN vs VCA (and why)
  • Which TPA should you enroll with (Optum vs TriWest) based on the region (Veterans Affairs)
  • What your practice should prepare before starting (so enrollment doesn’t stall)

Enrollment readiness checklist (your “packet” before you apply)

Coordinators help you organize the essentials that commonly slow providers down:

  • practice identifiers and admin contacts
  • licensing/credential documentation (as required for your specialty)
  • locations, service areas, tax/contracting details (as applicable)
  • internal workflow map (who schedules, who handles RFS, who bills)

VA’s provider resources emphasize that community providers must join VA’s community provider network to partner with VA, and CCN is the primary route for many providers. (Veterans Affairs).

Care coordination onboarding (HSRM + referrals)

Many providers encounter HSRM (HealthShare Referral Manager) and VA’s Community Care Referral & Authorization workflows. VA’s community portal notes that community providers can submit online Request for Service (RFS) forms through HSRM. (ccracommunity.va.gov)
VA also encourages providers to attend training before obtaining access to HSRM. (Veterans Affairs)

Precertification prevention (stop denials before they happen)

VA’s precertification guidance states providers must use the Precertification Portal (no fax/mail) and submit required details like demographics, authorization number, CPT/HCPCS, and medical necessity documentation. (Veterans Affairs)

 

Coordinators help your team operationalize a simple rule:
If precert is required, it gets handled before the service, with the right documentation, the first time.

Billing & claims routing basics (get paid by routing correctly)

VA’s claims guidance shows Authorized Care (38 U.S.C. §1703) has a 180-day timely filing requirement and states:  For CCN, submit claims to TriWest or Optum

For VCA or local contract, submit claims to VA (Veterans Affairs)

Coordinators help your billing team build a “VA-ready” checklist:

  • confirm authorization path (CCN vs VCA)
  • route to the correct payer (TriWest/Optum/VA)
  • track filing deadlines and documentation

TriWest also emphasizes the 180-day timely filing standard for authorized claims. (vaccn.triwest.com)


To protect providers and keep boundaries clean:

They do not represent VA, Optum, or TriWest.

They do not create VA authorizations or promise VA-paid care.

They do not handle protected health information on behalf of Veterans Desk.

What Provider Enrollment Coordinators Do Not Do

Enrollment Coordinator Members support providers across five practical “work lanes.” Think of this as implementation, not theory.

Why this matters to Veterans?

Enrollment Coordinators help expand the provider ecosystem so Veterans can see real alternatives without the provider getting buried by admin complexity.

 

When provider networks are thin, Veterans experience:

long waits

limited specialty access

fewer local options

care that feels “closed” by default

Who should use an Enrollment Coordinator?

Enrollment Coordinators are especially valuable if you are:

  • A small/medium practice without a dedicated credentialing department
  • A specialty clinic where enrollments often stall (imaging, behavioral health, pain, PT/OT, etc.)
  • Expanding locations and need consistent “VA-ready” workflows
  • Already seeing Veterans but struggling with authorizations, precert, or claim routing

Step 1: Request a Provider Listing

Start with our Enrollment Cooridnators basic profile

Step 2: Choose a participation goal

  • “Join CCN (Optum/TriWest)”
  • “Explore VCA with the local VA facility.”
  • “Operational cleanup: authorizations + precert + claims workflow”

Step 3: Coordinator expected workflow (typical sequence)

  1. Intake + path mapping
  2. Readiness checklist + missing items list
  3. Staff workflow training (authorization-first, precert, billing routing)
  4. Enrollment support milestones
  5. “Go-live” checklist for your front desk and billing

Join Veterans Desk as a Provider Member

and use an Enrollment Coordinator Member to accelerate:

CCN enrollment readiness (Optum/TriWest) 

HSRM/RFS understanding

Pre-certification prevention

Claims routing
Join Today

HIPAA Compliance Disclaimer

Veterans Desk is not a HIPAA-covered entity under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and is not subject to HIPAA privacy or security requirements. We do not collect, store, or transmit Protected Health Information (PHI) on behalf of veterans, healthcare providers, or any other party.

Our platform operates solely as an informational and networking resource. We offer membership access to a publicly viewable directory of VA Community Care Network (CCN) providers, along with educational links and resources. We do not provide direct medical referrals, coordinate patient care, or act as an intermediary between veterans and healthcare providers in any clinical capacity.

All communications, medical information, or personal data exchanged between a veteran and a provider occur outside of Veterans Desk and at the sole discretion and responsibility of the parties involved. Veterans Desk does not monitor, manage, or store these exchanges.

By using this site, you acknowledge and agree that:

  1. Veterans Desk is not your healthcare provider or representative.

     

  2. Veterans Desk does not give medical advice, make treatment recommendations, or guarantee provider performance.

     

  3. Any medical or personal information you choose to share with a provider is done independently and outside our control.

     

If you require medical advice, diagnosis, or treatment, please contact a licensed healthcare provider directly or use your VA-approved care coordination channels.

No Medical Advice

All content provided by Veterans Desk, including but not limited to articles, guides, directory listings, and linked resources, is for informational and educational purposes only. Veterans Desk does not provide medical advice, diagnosis, or treatment, and nothing on this site should be interpreted as such.

Use of this website does not create a patient–provider relationship between you and Veterans Desk, its staff, or any healthcare provider listed on the site. We strongly encourage all veterans and users to consult directly with a licensed healthcare professional or their VA-approved care coordinator before making any decisions related to their health, treatments, or medical care.

Veterans Desk makes no warranties or guarantees about the accuracy, completeness, or applicability of any information provided. Reliance on any information found on this site is solely at your own risk.

IMPORTANT NOTICE

Educational use only. No medical or legal advice.

Veterans Desk is a 501(c)(3) nonprofit, not a government agency, and not affiliated with the U.S. Department of Veterans Affairs or any federal or state agency.

Veterans Desk does not provide medical treatment, prescribe medications or cannabis, or collect or store protected health information (PHI).

Veterans Desk provides only education and navigation support.
All healthcare decisions belong to you and your licensed clinicians.

Emergency: 911 | Veterans Crisis Line: 988 (Press 1)