- スキャンID:
- cdb28b1b-6baa-4ee9-9821-dd019fff5217終了
- 送信済みURL:
- https://www.myvaccn.com/site/vaccn/main/public/login#/home
- レポート終了日:
リンク · 7件検出
ページから特定された発信リンク
リンク | テキスト |
---|---|
https://vacommunitycare.com/covid-19 | Coronavirus Disease (COVID-19)Find outbreak information. |
https://vacommunitycare.com/provider | Join the VA Community Care Network |
https://vacommunitycare.com/training-and-guides | Optum Training Guides |
https://vacommunitycare.com/forms-and-resources | Helpful Resources |
https://myservices.optumhealthpaymentservices.com/registrationSignIn.do | E-Payments& Statements Sign In |
http://www.pbm.va.gov/apps/VANationalFormulary/ | VA Formulary Search Tool |
https://www.vacommunitycare.com/provider | Provider Satisfaction Survey |
JavaScript変数 · 24件検出
ページのウィンドウオブジェクトにロードされたグローバルのJavaScript変数は関数以外の場所で宣言された変数で、現在のスコープ内であればコードのどこからでもアクセス可能です
名前 | 規模 |
---|---|
onbeforetoggle | object |
documentPictureInPicture | object |
onscrollend | object |
dojoConfigPackages | object |
dojoConfig | object |
define | function |
require | function |
dojo | object |
dijit | object |
dojox | object |
コンソールログメッセージ · 3件検出
Webコンソールにログ記録されたメッセージ
規模 | 分類 | ログ |
---|---|---|
verbose | dom |
|
verbose | dom |
|
verbose | dom |
|
HTML
未加工のHTMLページ本文
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html lang="en" class="dj_webkit dj_chrome dj_contentbox"><head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<!-- UX add to make IE browsers in compatibility mode act like themselves (IE11 like IE11 instead of IE7, etc) -->
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<title>myVACCN</title>
<link href="/site/theme/images/vaccn/favicon.ico" rel="shortcut icon" type="image/x-icon">
<link rel="stylesheet" type="text/css" href="/js-layer/lib/pgba/themes/tundra/tundra.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/site/theme/css/pgba_portal_override.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/site/theme/css/pgba.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/site/theme/css/pgba_icons.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/site/theme/css/myva-community-care-network.css?3.1.1.rc.3.85e32f5b">
<!--[if IE]>
<link
rel="stylesheet"
type="text/css"
href="/site/theme/css/pgba_ie.css?3.1.1.rc.3.85e32f5b" />
<![endif]-->
<link rel="stylesheet" type="text/css" href="/site/theme/css/print.css?3.1.1.rc.3.85e32f5b">
<!-- Add in LOB specific print styles -->
<link rel="stylesheet" type="text/css" href="/site/theme/css/print_myva-community-care-network.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/site/theme/css/vaccn_temp.css?3.1.1.rc.3.85e32f5b">
<link rel="stylesheet" type="text/css" href="/ui/vaccn-resources.css?3.1.1.rc.3.85e32f5b">
<script type="text/javascript" src="/js/config/dojoConfig.packages.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript" src="/js/config/dojoConfig.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript">
dojoConfig.cacheBust = "3.1.1.rc.3.85e32f5b";
</script>
<script type="text/javascript" charset="utf-8" src="/js-layer/lib/pgba/nls/dojo_ROOT.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-diagnostics/dijit/BuildInfo.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/config/TricareConfig.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/ApiAuthenticationManager.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/content/ContentManager.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/domUtils.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_BaseTemplatedWidget.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/SessionManager.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/ApiAuthenticationDatasource.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/Logger.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/LogManager.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/apiRequest.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/content/ContentAssist.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/web/WebConstituentAuthentication.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/constituent/ConstituentAuthentication.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_BaseTemplatedWidgetPlugin.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/UxViewController.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/web/WebConstituentAuthenticationLoginView.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/UxStandbySegment.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/UxSystemErrorSegment.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/BasicAuthentication.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/constituent/ConstituentAuthenticationLoginView.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/web/WebBaseAuthenticationLoginView.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/ErrorPanel.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/ContentBox.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/ViewController.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/Authentication.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/dijit/AuthenticationLoginView.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/StandbyContentPane.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/SystemErrorContentPane.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/AnchorLink.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/SecuredForm.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/SecuredFormButton.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/DataContentDisplay.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/DataContentDisplayGroup.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/PasswordPanel.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/TricareButton.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/PrintableDialog.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/ux/Modal.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_TopicEnabledWidget.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_ContentAssistMixin.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_ControllerEventedWidget.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/auth/script/pgba-authentication/datasource/AuthenticationDatasource.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_EventTopicEnabledWidget.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/util/formatUtils.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/_DataContentDisplayGroupMember.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/dijit/PasswordResetTextBox.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" charset="utf-8" src="/js/pgba-common/ux/PasswordResetTextBox.js?3.1.1.rc.3.85e32f5b"></script><script type="text/javascript" src="/js-layer/lib/pgba/dojo.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript" src="/ux-framework/ux/build/ux/build.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript" src="/site/theme/js/headScript-amd.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript">
require(["pgba-common/util/ApiAuthenticationManager"], function(ApiAuthenticationManager){
//This is a new session - api authentication required on next request
ApiAuthenticationManager.getInstance().requireNewAuthentication();
});
</script>
<style>
@media print
{
.noprint {display:none;}
}
</style>
<script type="text/javascript" src="/site/theme/js/commonModals.js"></script>
<style type="text/css">
.modal{
z-index: 925 !important;
}
.modal-backdrop {
z-index: 920 !important;
}
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.modal{
z-index: 925 !important;
}
.modal-backdrop {
z-index: 920 !important;
}
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.content-assist {
width: auto !important;
margin: 2px auto auto;
background: none repeat scroll 0 0 #FFFF33;
font-size: 10px !important;
font-weight: bold;
text-align: center;
}
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.modal{
z-index: 925 !important;
}
.modal-backdrop {
z-index: 920 !important;
}
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.content-assist {
width: auto !important;
margin: 2px auto auto;
background: none repeat scroll 0 0 #FFFF33;
font-size: 10px !important;
font-weight: bold;
text-align: center;
}
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<body class="tundra nonsecure">
<noscript>
This site requires JavaScript to function properly. Please call the HelpDesk for assistance.
</noscript>
<div class="wpthemeFrame">
<div id="layoutContainers" class="layoutContainers" role="main">
<div name="bannerHeaderContainer"><div id="bannerHeaderContainerNode0" class="">
<div id="bannerHeaderContainerNode1" class="">
<div id="bannerHeaderContainerComponent1" class="wrapper component-container ">
<!-- HeaderComponent -->
<header role="banner" class="site header"><div class="ux container"><div class="logo section"><div class="d-inline-block mt-3"><div class="content-assist" style="display: none;">
Header / LOGO_LEFT
</div> <span><p dir="ltr"><span style="font-size:8px;"><img src="/images/5918c711-d69e-4506-93c3-cec7b0f42d17/1/Optum_UHC_VA+CCN_Stacked_CMYK.png" alt="" title=""></span></p></span> <!----></div> <div class="float-right mt-5"><div class="content-assist" style="display: none;">
Header / LOGO_RIGHT
</div> <span><p dir="ltr"><a href="/vaccn"><img src="/images/5f4a603d-3dd9-4e81-bf28-3c9e15e69f3a/logo-MyVACCN.png" alt="myVACCN Logo" title="myVACCN Logo"></a></p></span> <!----></div></div></div></header>
<!-- HeaderComponent -->
</div>
</div>
</div></div>
<div class="site hero">
<div class="ux container">
<div class="ux size twenty medium padding grid">
<div class="not mobile twenty wide phablet fourteen wide desktop column"></div>
<div class="twenty wide phablet six wide desktop column">
<div name="rightContainer" class="right module"><div id="rightContainerNode0" class="">
<div id="rightContainerNode1" class="">
<div id="rightContainerComponent1" class="wrapper component-container ">
<!-- WebConstituentAuthenticationDijit -->
<div class="login section" data-dojo-type="pgba-authentication/dijit/web/WebConstituentAuthentication" data-dojo-props="
'loginTitle': 'Sign In',
'contentBundleName': 'Authentication',
'signInErrorContentKey': 'SIGN_IN_ERROR_MSG',
'passwordExpiredContentKey': 'PASSWORD_EXPIRED',
'constituentDisabledContentKey': 'CONSTITUENT_SIGN_IN_DISABLED_MSG',
'signInDisabledContentKey': 'SIGN_IN_DISABLED_MSG',
'invalidRACFContentKey': 'AUTHENTICATION_INVALID_RACF',
'unsupportedRoleContentKey': 'AUTHENTICATION_UNSUPPORTED_ROLE',
'racfRevokedContentKey': 'AUTHENTICATION_REVOKED_RACF',
'newPasswordInvalidContentKey': 'AUTHENTICATION_NEW_PASSWORD_INVALID',
'missingSecurityGroupsContentKey': 'AUTHENTICATION_MISSING_SECURITY_GROUPS',
'loginDisabledPath': '/site/${lineOfBusiness}/main/public/login-disabled',
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<item id='AUTHENTICATION_ALERT'><content><![CDATA[myVACCN only accepts internet traffic via the secure TLS 1.1 and TLS 1.2 protocols.]]></content></item>
<item id='AUTHENTICATION_REGISTER_LEFT'><content><![CDATA[<p><a href="http://www.myVACCN.com/" target="_blank" >http://www.myVACCN.com/</a></p>]]></content></item>
<item id='PRIVACY_NOTICE'><content><![CDATA[<p dir="ltr">PGBA, LLC ("PGBA" or "We") protects the privacy of personally identifiable information ("PII") collected on this Web Site (the "Site"). This Privacy Policy describes the PII We collect and how We use, disclose, and protect the PII that the user ("You") provides to PGBA.</p>
<h3 dir="ltr">The Information We Collect</h3>
<p dir="ltr">While using the Site, You may provide us with two types of PII:</p>
<ul dir="ltr">
<li>Federal Claims-Related PII. "Federal Claims-Related PII" is information that directly relates to PGBA’s processing of claims for the claim program. This information includes, for example, the Legal Business Name, Company Address, Company Phone Number, Tax ID/EIN, PTAN, National Provider Identifier, and other information about the health care provider that You represent. It also includes claims, eligibility inquiries, claim status inquiries, redetermination requests, and information regarding repayments overpayments.</li>
<li>Other PII. "Other PII" is information We collect that is NOT directly related to PGBA’s processing of claims for the program. This information includes, for example, names of administrators and users and their e-mail addresses, Security Question information, and other identifying information. We also may collect any information You submit in questions You send us through our "Contact Us" or similar features. By providing Other PII to us, You authorize us to use the information in accordance with this Privacy Policy.</li>
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<p dir="ltr">We collect and use Claims-Related PII (including Social Security Numbers) under the authority of the Social Security Act §§ 1842, 1862(b), and 1874 (42 U.S.C. §§ 1395u, 1395y(b), and 1395kk). As a federal contractor, We must use, disclose, and safeguard Claims-Related PII in accordance with the applicable federal policy.</p>
<p dir="ltr">This Privacy Policy applies only to Other PII.</p>
<p dir="ltr">We use Other PII for the purposes of (a) identifying valid users, (b) determining role-based access, (c) authenticating and approving access for conducting transactions related to processing of claims for the Medicare Fee-for-Service program and (d) responding to your inquiries. Except for our vendors who must comply with this Privacy Policy, We do not share Other PII with entities unless they are government agencies or entities performing functions on behalf of government agencies. In response to inquiries, We may disclose Other PII to the Department of Health and Human Services, the Department of Justice, or Congressional Offices. We may disclose Other PII to federal and state agencies for matters relating to fraud, program abuse, utilization review, quality assurance, peer review, program integrity, third-party liability, coordination of benefits, and civil and criminal litigation. You do not have the option to consent to or opt out of these uses or disclosures, and by providing Other PII to us, you authorize us to use and to make disclosures of the information in accordance with this Privacy Policy. If You decline to provide Other PII to us (thereby authorizing us to use and to make disclosures of the information in accordance with this Privacy Policy), you will be unable to use the Site.</p>
<h3 dir="ltr">Safeguarding Information</h3>
<p dir="ltr">PGBA is obligated by the federal Privacy Act, 5 U.S.C. Section 552a to protect your privacy. We use a variety of secure techniques designed to protect Other PII. These techniques include the following:</p>
<ul dir="ltr">
<li>We require you to use a user name and password to access the Site. You are responsible for keeping your password secure, however.</li>
<li>We regularly review our information safeguards with respect to collection, storage, and processing of Other PII, including administrative, physical, and technical security safeguards, to minimize the likelihood of unauthorized access to the Site.</li>
<li>We permit only employees or contractors who need to access Other PII in order to efficiently operate the Site and conduct transactions with You. These employees and contractors are subject to strict contractual confidentiality obligations and may be disciplined or terminated if they fail to meet these obligations.</li>
</ul>
<p dir="ltr">Data collected through our websites will be kept long enough to achieve the specified objective for which they were collected. The data generated from these activities is subject to the National Archives and Records Administration (NARA) General Records Schedule (GRS) (<a href="https://www.archives.gov/records-mgmt/grs.html" target="_blank" >https://www.archives.gov/records-mgmt/grs.html</a> ) sections GRS 3.1, GRS 3.2, GRS 4.1 and GRS 4.3; and will be retained and destroyed according to the requirements of the schedules set out therein.</p>
<h3 dir="ltr">Cookies</h3>
<p dir="ltr">When You visit any website, whether our website or some other website, its server may generate a piece of text known as a "cookie" to place on your computer. The cookie allows the server to "remember" specific information about your visit while You are connected. The cookie makes it easier for You to use the dynamic features of Web pages. Cookies from the Site collect information only about your browser's visit to the Site. They do not collect personal information about You.</p>
<p dir="ltr">If You do not wish to have cookies placed on your computer, You can disable them using your Web browser. If You opt out of cookies, You will still have access to all information and resources on the Site. Instructions for disabling or opting out of cookies in the most popular browsers are located at <a href="http://www.usa.gov/optout_instructions.shtml" target="_blank" >http://www.usa.gov/optout_instructions.shtml</a>. Please note that by opting out of cookies, You will disable cookies from all sources, not just from the Site.</p>
<h3 dir="ltr">Links to Other Sites</h3>
<p dir="ltr">The Site may include links to other government sites and occasionally to private organizations. Once You leave the Site, You are no longer subject to this Privacy Policy. You should review the privacy policy of the sites You are visiting to determine how your PII will be used, disclosed, and protected on that site.</p>
<h3 dir="ltr">Changes to this Privacy Policy</h3>
<p dir="ltr">Your use of this Site constitutes your acceptance of the terms of this Privacy Policy, as may be amended or revised by us from time to time. We may update this Privacy Policy from time to time. We may advise You that changes have been made by posting a notice on this Site or otherwise. The date of the latest revisions will be noted above at the beginning of this Privacy Policy. Please consult this Site and the Privacy Policy regularly for any changes.</p>
<h3 dir="ltr">Children</h3>
<p dir="ltr">We do not knowingly collect or use information from children under the age of 18 without the consent of a parent or guardian. To best protect your child's privacy, You should please supervise your child's access to the Internet, and this Site's content, carefully. For more information on how to protect your child's privacy, You can visit the Federal Trade Commission's Kids' privacy page, accessible via <a href="http://www.ftc.gov" target="_blank" >www.ftc.gov</a>.</p>
<h3 dir="ltr">Corrections and Updates</h3>
<p dir="ltr">To obtain a copy of Other PII You provided us, including how to make corrections or updates, You should contact us through the "Contact Us" section of the Site. Please do not transmit or email sensitive information to us for the purpose of corrections or updates.</p>
<p dir="ltr">Please note that this web site is specific to medical professionals.</p>
<h3 dir="ltr">Contacting the Privacy Office</h3>
<p dir="ltr">Contact our Privacy Officer for any privacy questions or to report privacy concerns. You may contact the PGBA Privacy Officer by writing to the following address:</p>
<blockquote dir="ltr">PGBA, LLC<br />
17 Technology Circle<br />
Columbia, SC 29203<br />
Attention: Privacy Officer</blockquote>
<h3>Legal Disclaimer</h3>
<p dir="ltr">PGBA, LLC provides the information on this website free of charge and for informational purposes only. Single copies may be downloaded subject to the provisions below. By downloading any materials from this site, you agree to these terms. If you do not agree to them, do not use the site or download any materials from it. Although we have made every effort to make sure the contents of this website are correct and complete, PGBA cannot be held responsible for the accuracy of this information. Information may be changed or updated without notice.</p>
<p dir="ltr">PGBA has no obligation to update information within this website. This means information on the site may be out of date at any given time. We also may make improvements or changes in the products or services we describe on the site at any given time without notice.</p>
<p dir="ltr">THESE MATERIALS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES, SO THE ABOVE EXCLUSION MAY NOT APPLY TO YOU. THE DATA SET FORTH HEREIN IS FOR INFORMATIONAL PURPOSES ONLY. PGBA SHALL NOT BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, INCLUDING WITHOUT LIMITATION, LOST REVENUES OR LOST PROFITS, WHICH MAY RESULT FROM THE USE OF THESE MATERIALS.</p>
<p dir="ltr">Unauthorized attempts to upload information and /or change information on this website is strictly prohibited and is subject to prosecution under the Computer Fraud and Abuse Act of 1986 and Title 18 U.S.C. Sec/ 1001 and 1030.</p>
<p dir="ltr"><b>Last reviewed: 2-13-2019</b></p>]]></content></item>
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<p dir="ltr">Your myVACCN profile has encountered an error. Please contact the Help Desk for assistance in creating a new profile. Region 1: 888-901-7407, Region 2: 844-839-6108 or Region 3: 888-901-6613.</p>
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<p dir="ltr"><b>Password Guidelines</b></p>
<p dir="ltr">Because of our security requirements, your password must meet the following requirements:</p>
<ul dir="ltr">
<li>Must be eight characters</li>
<li>Use at least one special character (@ # or $), one number and one letter in your password.</li>
<li>You cannot use the same password again until you've changed your password 12 times.</li>
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<p dir="ltr"><b>Please Note:</b> Changing your password here changes it for all RACF applications. Passwords are case-sensitive.</p>
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<p dir="ltr"><b>Account password locked</b></p>
<p dir="ltr">Please contact the PGBA security administrator for your plan code to re-set your password. If you do not know who your security administrator is, your Prime Contractor can give you the contact information.</p>
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<p dir="ltr" style="margin: 0px;">Currently, we offer myVACCN claims access to VACCN Contractors. If you're a contractor employee and have applied for Web access, we're working to give you access soon. Please check back with us later.</p>
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<p dir="ltr">Please enter the NPI number associated with the Tax ID for this account. This is a one-time-only requirement to ensure the privacy of your information.</p>
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<p dir="ltr" style="margin: 0px;">Please enter a valid username and password.</p>
<p dir="ltr" style="margin: 0px;">You can also <a href="/site/vaccn/main/public/account-reset?feature=forgot-username" target="" title="reset your username">reset your username</a>, <a href="/site/vaccn/main/public/account-reset?feature=forgot-password" target="" title="reset your password">reset your password</a>, or if you haven't registered, <a href="/site/vaccn/main/public/registration" target="" title="create an account">create an account</a>.</p>
<p dir="ltr" style="margin: 0px;"> </p>
<p dir="ltr" style="margin: 0px; font-weight: bold;">IMPORTANT Requirement:</p>
<p dir="ltr">Providers - If 120 days have passed since you last signed in, your account has been deleted. Please <a href="/site/vaccn/main/public/registration" target="" title="re-register">re-register now</a>.</p>
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News
</h2> <div class="list-group list-group-flush"><a href="https://vacommunitycare.com/covid-19" rel="noopener" target="_blank" class="list-group-item bg-transparent list-group-item-action"><div><h3 class="list-group-item-title">Coronavirus Disease (COVID-19)</h3> <span class="list-group-item-detail"><p dir="ltr">Find outbreak information.</p></span></div></a><a href="#" rel="noopener" target="_blank" class="list-group-item bg-transparent list-group-item-action"><div><h3 class="list-group-item-title">Referral Numbers</h3> <span class="list-group-item-detail"><p dir="ltr">Important referral change.</p></span></div></a></div></div><!----><!----></div> <div class="card"><!----><!----><div class="card-body"><!----><!----><h2 class="card-title">
Start Here
</h2> <div class="list-group list-group-multicolor-icons list-group-flush"><a href="https://vacommunitycare.com/provider" rel="noopener" target="_blank" class="list-group-item bg-transparent list-group-item-action"><i class="fas fa-square fa-xs"></i>
Join the VA Community Care Network
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Learn About VA CCN
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Optum Training Guides
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E-Payments & Statements Sign In
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VA Formulary Search Tool
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<item id='LearnAboutVACCN'><content><![CDATA[<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>What is VA CCN?</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;">The <a href="https://vacommunitycare.com/doc/ccnProvManual/ccnInfo" target="_blank" rel="noopener noreferrer">VA Community Care Network (VA CCN)</a> was created to assist Veterans access to obtain health care services in the community. Depending on the health care needs or circumstances of the Veteran, they may be eligible for care with a provider within the community care network. If the VA authorizes the needed care, a referral is submitted to the community provider. Veteran eligibility for care under VA CCN is determined by the VA. </span></span></p>
<p dir="ltr"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><strong><span style="color: rgb(0, 74, 100);">Why join the VA CCN?</span></strong></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;">As a community care provider, you will be part of a network of professionals delivering care to the men and women that have served our country. You will have access to tools that will help you manage your VA CCN business.</span></span></p>
<p dir="ltr"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>How to join the VA CCN Network</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;">Follow the guide to <a href="https://www.vacommunitycare.com/provider" target="_blank" rel="noopener noreferrer">Join the Network</a> with just a few easy steps!</span></span></p>
<p dir="ltr" style="margin-left: 40px;"> </p>
<hr dir="ltr" />
<p dir="ltr"> </p>
<p dir="ltr"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>Helpful VA CCN Network Resources</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnProvManual/ccnPrManual" target="_blank" rel="noopener noreferrer">VA CCN Provider Manual</a><br />
<a href="https://vacommunitycare.com/doc/ccnPrNetRes/ccnProvCreden" target="_blank" rel="noopener noreferrer">Provider Credentialing</a><br />
<a href="https://vacommunitycare.com/doc/ccnPrNetRes/ccnHPerProv" target="_blank" rel="noopener noreferrer">Learn about Optum’s Clinical Quality Management (CQM) program standards</a> to become a designated High Performing Provider or Center of Excellence based on performance.</span></span></p>
<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>Filing</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnMedDocRef/ccnMDocReq" target="_blank" rel="noopener noreferrer">Medical Documentation Requirements</a><br />
<a href="https://vacommunitycare.com/doc/ccnClaims/ccnCProcessing" target="_blank" rel="noopener noreferrer">Claims Processing Guidelines</a></span></span></p>
<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>Fraud, Waste and Abuse</strong></span></span></span></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnPrNetRes/ccnFWA" target="_blank" rel="noopener noreferrer">Fraud, Waste and Abuse - At-a-Glance</a><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnForms/fraudWasteAndAbuseReportingForm" target="_blank" rel="noopener noreferrer">Fraud, Waste and Abuse Reporting Form</a></span></span></span></p>
<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>Benefits</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnBenefits/ccnGenMedBen" target="_blank" rel="noopener noreferrer">General Medical Benefits</a><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnBenefits/ccnDMEBenefits" target="_blank" rel="noopener noreferrer">Durable Medical Equipment (DME) Benefits</a><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnBenefits/ccnBHVenefits" target="_blank" rel="noopener noreferrer">Behavioral Health Benefits</a><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnMedDocRef/ccnRefProcess" target="_blank" rel="noopener noreferrer">Referral Process</a></span></span></span><br />
<a href="https://vacommunitycare.com/doc/ccnBenefits/ccnVisionCare" target="_blank" rel="noopener noreferrer">Vision Care for Veterans</a><br />
<a href="https://vacommunitycare.com/doc/ccnBenefits/ccnPrescHAids" target="_blank" rel="noopener noreferrer">Prescribing Hearing Aids</a> </span></span><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/doc/ccnBenefits/ccnUrgCraeBen" target="_blank" rel="noopener noreferrer">Urgent Care Benefits</a></span></p>
<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong>Pharmacy</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;"><a href="http://www.pbm.va.gov/apps/VANationalFormulary/" target="_blank" >VA Formulary Search Tool</a> <br />
<a href="https://www.pbm.va.gov/PBM/NationalFormulary.asp" target="_blank" rel="noopener noreferrer">VHA Formulary Management Process</a> <br />
<a href="https://vacommunitycare.com/doc/ccnBenefits/ccnPresMedForVA" target="_blank" rel="noopener noreferrer">Prescribing Medications for Veterans</a></span></span></p>
<p dir="ltr"> </p>]]></content></item>
<item id='BillingInformationandTools'><content><![CDATA[<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Electronic Claims Filing</strong></span></span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">We encourage network providers to take advantage of filing claims electronically. Electronic claims are faster than paper claims, so you get paid faster. And, electronic filing saves you time and money. </span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;"><span style="color: rgb(0, 74, 100);"><strong>Which electronic claims option is right for you?</strong></span></span></span></p>
<ul dir="ltr" style="margin-left: 40px;">
<li><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">Submit no more than 150 claims a month? XPressClaim is your best option. You can enter your claims right on the internet, and it's fast and free!</span></span></li>
<li><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">High volume of VA CCN patients? Go to the <a href="https://myservices.optumhealthpaymentservices.com/registrationSignIn.do" target="_blank" rel="noopener noreferrer">Optum website</a> to learn more. </span></span></li>
</ul>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>XPressClaim®</strong></span></span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">With XPressClaim®, PGBA, LLC sets the standard for the online claims submission. Designed with providers in mind, XPressClaim is easy to use, fast and free. Imagine billing for your patients' services while they're still in your office and getting the claim results right away. (You can submit secondary as well as corrected claims).</span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">Most of the time, you'll get instant results and be able to print a Patient Summary Receipt to give to your patient right on the spot. For those few instances that are not completed immediately, you'll still receive priority processing. And XPressClaim will be much faster than any other type of claims submission. </span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">Registered members of myVACCN can sign up for XPressClaim, and you'll find XPressClaim is one of many convenient online self-service options that make it easier to manage your VA CCN business. </span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">Here's how easy submitting an XPressClaim is:</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">1. Select the location where the patient received care, the doctor who provided it, and the patient who received it.<br />
<span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">2. Enter the services and charges for your claim. (You can submit corrected claims too!)<br />
<span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">3. Click "Submit", make any online corrections, and get your claim results right away. </span></span></span></span></span></span></p>
<p dir="ltr"><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 14px;">Use the <a href="/images/a0e4d0b2-12f4-4fc4-a709-5d1aad050cce/myVACCN+Professional+XPressClaim+Provider+Guide.pdf" target="_blank" >XPressClaim Professional Provider Guide</a> and the <a href="/images/9b78e6ad-9b1b-4d6a-be3a-44b0a38cc172/myVACCN+Institutional+XPressClaim+Provider+Guide.pdf" target="_blank" >XPressClaim Institutional Provider Guide</a> to help you file your VA CCN claims online!<br />
<br />
Want to see more? Watch the <a href="/images/725a8058-359d-41e9-8b53-a386a83c3ce5/myVACCN_Professional_Claim_Entry.mp4" target="_blank" >XPressClaim Professional Claim Entry</a> and <a href="/images/16bd1028-90c0-4349-aaf3-c47007fd49e0/myVACCN+Institutional+Claim+Entry.mp4" target="_blank" >XPressClaim Institutional Claim Entry</a> tutorials.</span></span></p>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Electronic Statements and Payments (EPS)</strong></span></span></span></p>
<p dir="ltr"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;">Sign up for <a href="https://myservices.optumhealthpaymentservices.com/registrationSignIn.do" target="_blank" rel="noopener noreferrer">Electronic Statements and Payments</a> to receive your VA CCN payments and provider statements electronically.</span></span></p>
<p dir="ltr"><br />
<span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 16px;"><strong><font color="#004a64">Referrals</font></strong></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 0, 0);">The </span><a href="https://vacommunitycare.com/doc/ccnMedDocRef/ccnRefProcess" target="_blank" rel="noopener noreferrer">Referral Process</a></span></span><span style="color: rgb(0, 0, 0);"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"> is an important part to delivering care under VA CCN. If the VA determines that a Veteran needs care within the community, they will send a referral to an approved CCN provider. The referral serves as proof of the Veterans eligibility under VA CCN along with the </span></span></span><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://vacommunitycare.com/doc/ccnMedDocRef/ccnStandCare" target="_blank" rel="noopener noreferrer">Standardized Episode of Care (SEOC)</a></span></span><span style="color: rgb(0, 0, 0);"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">. </span></span></span></p>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Fee Schedules</strong></span></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><a href="https://vacommunitycare.com/forms-and-resources" target="_blank" rel="noopener noreferrer">Fee Schedules and VA SEOC Billing Codes</a></span></p>
<p dir="ltr"> </p>
<p dir="ltr"> </p>
<p dir="ltr"> </p>
<p dir="ltr"> </p>]]></content></item>
<item id='ComingSoon'><content><![CDATA[<p dir="ltr">The <a href="/images/816c854a-44b9-4ead-82ea-e0785fec1696/TESTVACCN.pdf" >referral number</a> will be required when submitting any claim type (electronic or paper) with the exception of Urgent Care, Flu Shots and some ancillary services.</p>]]></content></item>
<item id='HelpContactInformation'><content><![CDATA[<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Mailing & Phone Contacts</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 1 CCN Provider Services: 888-901-7407</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 2 CCN Provider Services: 844-839-6108</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 3 CCN Provider Services: 888-901-6613</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Monday through Friday, 8:00 a.m. to 6:00 p.m., local time, excluding federal holidays </span></span></p>
<p dir="ltr" style="margin-left: 40px;"><strong><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);">Fraud Inquires</span> </span></span></strong></p>
<p dir="ltr" style="margin-left: 80px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 1: 844-883-3461</span></span></p>
<p dir="ltr" style="margin-left: 80px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 2: 844-883-3669</span></span></p>
<p dir="ltr" style="margin-left: 80px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Region 3: 844-883-3684</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><strong><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);">Claims </span></span></span></span></span></strong></p>
<p dir="ltr" style="margin-left: 80px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><font color="#222222"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">VA CCN Claims<br />
PO Box 202117<br />
Florence, SC 29501<br />
<br />
Electronic Data Interchange (EDI) Payer ID: VACCN</span></span></font></span></span></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Correspondence</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 80px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">VA CCN Correspondence<br />
PO Box 202118<br />
Florence, SC 29501</span></span></p>
<p dir="ltr"><span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Tutorials</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size:14px;"><a href="/images/8d2ffc17-c7fe-4446-8693-dc3dd01250da/myVACCN_Provider_Registration.mp4" target="_blank" >myVACCN Registration Tutorial</a><br />
<a href="/images/e8151dac-c2a0-418a-b6f1-a31e5d47551f/myVACCN+Secure+Features.mp4" target="_blank" >myVACCN Secure Features Tutorial</a><br />
<a href="/images/725a8058-359d-41e9-8b53-a386a83c3ce5/myVACCN_Professional_Claim_Entry.mp4" target="_blank" >XPressClaim Professional Claim Entry</a><br />
<a href="/images/16bd1028-90c0-4349-aaf3-c47007fd49e0/myVACCN+Institutional+Claim+Entry.mp4" target="_blank" >XPressClaim Institutional Claim Entry</a><br />
<a href="/images/e402298b-573c-4a19-8b93-a4ee062d073b/myVACCN+Account+Administration.mp4" target="_blank" >myVACCN Account Administration Tutorial</a> </span></p>
<p dir="ltr"><span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Helpful Guides</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><a href="/images/2f350659-5892-4129-946f-1ba98a7df347/VA+CCN+PROVIDER+Portal+Guide.pdf" target="_blank" >myVACCN Provider Portal Guide</a><br />
<a href="/images/842ad3b1-28f0-4a0b-8a62-5ef170894344/myVACCN+Account+Administration+Guide.pdf" target="_blank" >myVACCN Account Administration Guide</a><br />
<a href="/images/a0e4d0b2-12f4-4fc4-a709-5d1aad050cce/myVACCN+Professional+XPressClaim+Provider+Guide.pdf" target="_blank" >XPressClaim Professional Provider Guide</a><br />
<a href="/images/9b78e6ad-9b1b-4d6a-be3a-44b0a38cc172/myVACCN+Institutional+XPressClaim+Provider+Guide.pdf" target="_blank" >XPressClaim Institutional Provider Guide</a></span></p>
<p dir="ltr"><span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>FAQs</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="/images/0ae944bc-380e-4c70-b4c2-a03698c03be2/VA-CCN_XPressClaim+FAQs.pdf" target="_blank" >XPressClaim Frequently Asked Questions</a></span></span></p>
<p dir="ltr"><span style="font-size: 16px;"><span style="font-family: arial,helvetica,sans-serif;"><span style="color: rgb(0, 74, 100);"><strong>Forms</strong></span></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://www.va.gov/find-forms/about-form-10-10172" target="_blank" rel="noopener noreferrer">Request for Service Form</a><br />
<span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS1500.pdf" target="_blank" >CMS 1500 Claim Form</a><br />
<span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256" target="_blank" >CMS 1450 Claim Form</a><br />
<span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://www.ada.org/publications/cdt/ada-dental-claim-form" target="_blank" rel="noopener noreferrer">Sample ADA Claim Form</a><br />
<span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://www.va.gov/find-forms/about-form-10-0998/" target="_blank" rel="noopener noreferrer">10-0998 Veteran Appeal Form</a><br />
<span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://vacommunitycare.com/doc/ccnForms/fraudWasteAndAbuseReportingForm" target="_blank" rel="noopener noreferrer">Fraud, Waste and Abuse Reporting Form</a><br />
<span style="font-size: 14px;"><a href="https://vacommunitycare.com/pqi" target="_blank" rel="noopener noreferrer">Potential Quality Issue (PQI) Referral Form</a></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
<p dir="ltr"> </p>]]></content></item>
<item id='NewFunctionality'><content><![CDATA[<p dir="ltr"><span style="font-size: 14px;">New features now available on myVACCN.com!<br />
<br />
<span style="font-size: 14px;">Providers are able to control website access for their Tax Identification Number (TIN), create Claims Data Reports and view claims information for all their VA CCN patients for one or more locations. For more information, check out the Help & Contact Information page for tutorials and provider guides. </span></span></p>]]></content></item>
<item id='PrivacyAndLegal'><content><![CDATA[<p dir="ltr">PGBA, LLC ("PGBA" or "We") protects the privacy of personally identifiable information ("PII") collected on this Web Site (the "Site"). This Privacy Policy describes the PII We collect and how We use, disclose, and protect the PII that the user ("You") provides to PGBA.</p>
<h3 dir="ltr">The Information We Collect</h3>
<p dir="ltr">While using the Site, You may provide us with two types of PII:</p>
<ul dir="ltr">
<li>Federal Claims-Related PII. "Federal Claims-Related PII" is information that directly relates to PGBA’s processing of claims for the claim program. This information includes, for example, the Legal Business Name, Company Address, Company Phone Number, Tax ID/EIN, PTAN, National Provider Identifier, and other information about the health care provider that You represent. It also includes claims, eligibility inquiries, claim status inquiries, redetermination requests, and information regarding repayments overpayments.</li>
<li>Other PII. "Other PII" is information We collect that is NOT directly related to PGBA’s processing of claims for the program. This information includes, for example, names of administrators and users and their e-mail addresses, Security Question information, and other identifying information. We also may collect any information You submit in questions You send us through our "Contact Us" or similar features. By providing Other PII to us, You authorize us to use the information in accordance with this Privacy Policy.</li>
</ul>
<p dir="ltr"><br />
We collect and use Claims-Related PII (including Social Security Numbers) under the authority of the Social Security Act §§ 1842, 1862(b), and 1874 (42 U.S.C. §§ 1395u, 1395y(b), and 1395kk). As a federal contractor, We must use, disclose, and safeguard Claims-Related PII in accordance with the applicable federal policy.</p>
<p dir="ltr">This Privacy Policy applies only to Other PII.</p>
<p dir="ltr">We use Other PII for the purposes of (a) identifying valid users, (b) determining role-based access, (c) authenticating and approving access for conducting transactions related to processing of claims for the Medicare Fee-for-Service program and (d) responding to your inquiries. Except for our vendors who must comply with this Privacy Policy, We do not share Other PII with entities unless they are government agencies or entities performing functions on behalf of government agencies. In response to inquiries, We may disclose Other PII to the Department of Health and Human Services, the Department of Justice, or Congressional Offices. We may disclose Other PII to federal and state agencies for matters relating to fraud, program abuse, utilization review, quality assurance, peer review, program integrity, third-party liability, coordination of benefits, and civil and criminal litigation. You do not have the option to consent to or opt out of these uses or disclosures, and by providing Other PII to us, you authorize us to use and to make disclosures of the information in accordance with this Privacy Policy. If You decline to provide Other PII to us (thereby authorizing us to use and to make disclosures of the information in accordance with this Privacy Policy), you will be unable to use the Site.</p>
<h3 dir="ltr">Safeguarding Information</h3>
<p dir="ltr">PGBA is obligated by the federal Privacy Act, 5 U.S.C. Section 552a to protect your privacy. We use a variety of secure techniques designed to protect Other PII. These techniques include the following:</p>
<ul dir="ltr">
<li>We require you to use a user name and password to access the Site. You are responsible for keeping your password secure, however.</li>
<li>We regularly review our information safeguards with respect to collection, storage, and processing of Other PII, including administrative, physical, and technical security safeguards, to minimize the likelihood of unauthorized access to the Site.</li>
<li>We permit only employees or contractors who need to access Other PII in order to efficiently operate the Site and conduct transactions with You. These employees and contractors are subject to strict contractual confidentiality obligations and may be disciplined or terminated if they fail to meet these obligations.</li>
</ul>
<p dir="ltr">Data collected through our websites will be kept long enough to achieve the specified objective for which they were collected. The data generated from these activities is subject to the National Archives and Records Administration (NARA) General Records Schedule (GRS) (<a href="https://www.archives.gov/records-mgmt/grs.html" target="_blank" >https://www.archives.gov/records-mgmt/grs.html</a> ) sections GRS 3.1, GRS 3.2, GRS 4.1 and GRS 4.3; and will be retained and destroyed according to the requirements of the schedules set out therein.</p>
<h3 dir="ltr">Cookies</h3>
<p dir="ltr">When You visit any website, whether our website or some other website, its server may generate a piece of text known as a "cookie" to place on your computer. The cookie allows the server to "remember" specific information about your visit while You are connected. The cookie makes it easier for You to use the dynamic features of Web pages. Cookies from the Site collect information only about your browser's visit to the Site. They do not collect personal information about You.</p>
<p dir="ltr">If You do not wish to have cookies placed on your computer, You can disable them using your Web browser. If You opt out of cookies, You will still have access to all information and resources on the Site. Instructions for disabling or opting out of cookies in the most popular browsers are located at <a href="http://www.usa.gov/optout_instructions.shtml" target="_blank" >http://www.usa.gov/optout_instructions.shtml</a>. Please note that by opting out of cookies, You will disable cookies from all sources, not just from the Site.</p>
<h3 dir="ltr">Links to Other Sites</h3>
<p dir="ltr">The Site may include links to other government sites and occasionally to private organizations. Once You leave the Site, You are no longer subject to this Privacy Policy. You should review the privacy policy of the sites You are visiting to determine how your PII will be used, disclosed, and protected on that site.</p>
<h3 dir="ltr">Changes to this Privacy Policy</h3>
<p dir="ltr">Your use of this Site constitutes your acceptance of the terms of this Privacy Policy, as may be amended or revised by us from time to time. We may update this Privacy Policy from time to time. We may advise You that changes have been made by posting a notice on this Site or otherwise. The date of the latest revisions will be noted above at the beginning of this Privacy Policy. Please consult this Site and the Privacy Policy regularly for any changes.</p>
<h3 dir="ltr">Children</h3>
<p dir="ltr">We do not knowingly collect or use information from children under the age of 18 without the consent of a parent or guardian. To best protect your child's privacy, You should please supervise your child's access to the Internet, and this Site's content, carefully. For more information on how to protect your child's privacy, You can visit the Federal Trade Commission's Kids' privacy page, accessible via <a href="http://www.ftc.gov" target="_blank" >www.ftc.gov</a>.</p>
<h3 dir="ltr">Corrections and Updates</h3>
<p dir="ltr">To obtain a copy of Other PII You provided us, including how to make corrections or updates, You should contact us through the "Contact Us" section of the Site. Please do not transmit or email sensitive information to us for the purpose of corrections or updates.</p>
<p dir="ltr">Please note that this web site is specific to medical professionals.</p>
<h3 dir="ltr">Contacting the Privacy Office</h3>
<p dir="ltr">Contact our Privacy Officer for any privacy questions or to report privacy concerns. You may contact the PGBA Privacy Officer by writing to the following address:</p>
<blockquote dir="ltr">PGBA, LLC<br />
17 Technology Circle<br />
Columbia, SC 29203<br />
Attention: Privacy Officer</blockquote>
<p dir="ltr"><strong>Last reviewed: 2-13-2019</strong></p>
<hr dir="ltr" />
<h2 dir="ltr">Our Privacy Policy</h2>
<h3 dir="ltr">Legal Disclaimer</h3>
<p dir="ltr">PGBA, LLC provides the information on this website free of charge and for informational purposes only. Single copies may be downloaded subject to the provisions below. By downloading any materials from this site, you agree to these terms. If you do not agree to them, do not use the site or download any materials from it. Although we have made every effort to make sure the contents of this website are correct and complete, PGBA cannot be held responsible for the accuracy of this information. Information may be changed or updated without notice.</p>
<p dir="ltr">PGBA has no obligation to update information within this website. This means information on the site may be out of date at any given time. We also may make improvements or changes in the products or services we describe on the site at any given time without notice.</p>
<p dir="ltr">THESE MATERIALS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES, SO THE ABOVE EXCLUSION MAY NOT APPLY TO YOU. THE DATA SET FORTH HEREIN IS FOR INFORMATIONAL PURPOSES ONLY. PGBA SHALL NOT BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, INCLUDING WITHOUT LIMITATION, LOST REVENUES OR LOST PROFITS, WHICH MAY RESULT FROM THE USE OF THESE MATERIALS.</p>
<p dir="ltr">Unauthorized attempts to upload information and /or change information on this website is strictly prohibited and is subject to prosecution under the Computer Fraud and Abuse Act of 1986 and Title 18 U.S.C. Sec/ 1001 and 1030.</p>]]></content></item>
<item id='PrimePartnerLinks'><content><![CDATA[<p dir="ltr"> </p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/FINAL_PCA-4-015629-04232019_onlineresources.pdf" target="_blank" >Vacommunitycare.com Provider Resources</a></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/PCA-1-015747-05062019_provservices_FINAL.pdf" target="_blank" >CCN Provider Resources and Services</a></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/PCA-1-015896-05172019_05222019_UHConAir.pdf" target="_blank" >Accessing Provider Training Using UHC On Air</a></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/VACCN_Provider_Manual_Dental.pdf" target="_blank" >VA CCN Provider Manual - Dental</a><br />
<br />
<a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/Quick_Reference_Guide_for_Dental_Providers.pdf" target="_blank" >VA CCN Quick Reference Guide - Dental (QRG)</a><br />
<br />
<a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/LHI_Provider_Portal_Overview_for_Dental_Providers_Public.pdf" target="_blank" >VA CCN LHI Provider Portal Overview</a><br />
<br />
<a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/LHI_Provider_Portal-VACCN_Dashboard_for_Dental_Providers_Public.pdf" target="_blank" >VA CCN LHI Provider Portal Dashboard</a><br />
<br />
<a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/Frequently_Asked_Questions_for_Dental_Providers.pdf" target="_blank" >VA CCN Frequently Asked Questions - Dental (FAQ)</a></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://logisticshealth.com/provider-network.aspx/" target="_blank" >Logistics Health Inc.-Dental</a><br />
<br />
<a href="https://www.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/military-and-veterans-tool-kit.html" target="_blank" >Behavioral Health Military and Veterans Toolkit for Providers</a><br />
<br />
<a href="https://www.uhcprovider.com/" target="_blank" >UnitedHealthcare</a><br />
<br />
<a href="https://www.spectera.com/PWP/Landing" target="_blank" >UnitedHealthcare Vision</a><br />
<br />
<a href="https://www.providerexpress.com/content/ope-provexpr/us/en.html" target="_blank" >United Behavioral Health/Optum Provider Express</a><br />
<br />
<a href="https://www.myoptumhealthphysicalhealth.com/" target="_blank" >OptumHealth Physical Health</a></span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;"><a href="https://provider.vacommunitycare.com/oss/cms/styles/desktop/global/vaccn/global/global/css/documents/FINAL_PCA-3-015629-04232019_sitefeedback.pdf" target="_blank" >Vacommunitycare.com Site Feedback</a></span></span></p>
<p dir="ltr"> </p>]]></content></item>
<item id='ReferralNumbers'><content><![CDATA[<p dir="ltr"><span style="font-size: 14px;">VA CCN providers are required to include the referral number on the submission of all claim types with the exception of urgent care and some ancillary services. Only one referral number should be submitted for each claim. For more information on submitting referral numbers in XPressClaim, please refer to the provider guides: </span><a href="/images/a0e4d0b2-12f4-4fc4-a709-5d1aad050cce/myVACCN+Professional+XPressClaim+Provider+Guide.pdf" target="_blank" ><span style="font-size:14px;">Professional</span> </a><span style="font-size:14px;">and <a href="/images/9b78e6ad-9b1b-4d6a-be3a-44b0a38cc172/myVACCN+Institutional+XPressClaim+Provider+Guide.pdf" target="_blank" >Institutional</a>. <br />
<br />
<span style="color: rgb(178, 34, 34);"><strong>Please note:</strong></span> If the Group TIN wasn’t included on the VA referral, you may have trouble locating the referral on our website. You can call Provider Services for a referral status or you can use the <a href="https://www.va.gov/COMMUNITYCARE/providers/Care-Coordination.asp#HSRM" target="_blank" >HealthShare Referral Manager (HSRM) tool</a>.<br />
<br />
For Referral Status, please call:</span><br />
</p>
<p dir="ltr"><span style="font-size:14px;">Region 1 CCN Provider Services: 888-901-7407<br />
<br />
Region 2 CCN Provider Services: 844-839-6108<br />
<br />
Region 3 CCN Provider Services: 888-901-6613<br />
<br />
Monday through Friday, 8:00 a.m. to 6:00 p.m., local time, excluding federal holidays</span></p>]]></content></item>
<item id='RegisteronmyVACCN.com'><content><![CDATA[<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong><span style="font-family: arial,helvetica,sans-serif;">Benefits of Being a Registered Member</span></strong></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">myVACCN.com empowers providers to manage your claims business online anytime — day or night. myVACCN<em> </em>is the easiest, fastest way to get self-service information and more. Become a registered member of the myVACCN.com website, so you can:</span></span></p>
<ul dir="ltr">
<li><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Check Claim Status (includes pending, completed, returned)</span></span></li>
<li><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Confirm Eligibility Information</span></span></li>
<!--<li>View Other Health Insurance (OHI)<li>-->
<li><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Verify Referrals</span></span></li>
<!--<li>Create Claims Data Reports – customized accounts receivable reports based on your criteria</li>-->
<li><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Chat – launch a real-time chat session with Call Center Agents; available Monday – Friday from 8:00 a.m. to 6:00 p.m., local time, excluding federal holidays</span></span></li>
<li><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Submit XPressClaim®— our free online claims submission tool</span></span></li>
</ul>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">With <span style="font-family: Arial,Helvetica,sans-serif;">XPressClaim® you can submit both CMS 1500 and UB-04 claim types and receive instant results. XPressClaim – is easy, fast and FREE! </span></span><span style="font-family: Arial,Helvetica,sans-serif;"><a href="https://www.myvaccn.com/site/vaccn/main/public/registration" target="_self" >Become a member</a></span><span style="font-family: arial,helvetica,sans-serif;"><span style="font-family: Arial,Helvetica,sans-serif;"> of myVACCN </span>today so you can save time. Manage your business at your convenience, without waiting!<br />
<br />
<span style="font-family: Arial,Helvetica,sans-serif;">See how </span>being a registered member of myVACCN can help you manage your business with our </span><a href="/images/e8151dac-c2a0-418a-b6f1-a31e5d47551f/myVACCN+Secure+Features.mp4" target="_blank" >myVACCN Secure Features</a><span style="font-family: arial,helvetica,sans-serif;"> tutorial. You can also view our <a href="/images/2f350659-5892-4129-946f-1ba98a7df347/VA+CCN+PROVIDER+Portal+Guide.pdf" target="_blank" >Provider Portal Guide</a> for more help. </span></span></p>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><span style="font-family: arial,helvetica,sans-serif;"><strong><span style="font-family: arial,helvetica,sans-serif;">How to Register</span></strong></span></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">You can register for the secure features of myVACCN.com by following these steps:</span></span></p>
<p dir="ltr" style="margin-left: 40px;"><span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">1. Go to myVACCN.com<br />
2. <span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">Select “Register Now” from the top navigation area of the homepage<br />
3. </span></span><span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">Enter the required information</span></span></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">You have two registration options:<br />
<br />
<strong>Instant Registration</strong> - Enter the claim information (claim numbers and dates of birth) for two different veterans.<br />
<br />
<strong>Security Key Code (SKC)</strong> - If you have not processed two claims through the VA CCN program, select the Security Key Code (SKC) option. We will mail a letter to you within 10 days containing your unique, system-generated 10-character alpha-numeric security key code. Once you receive your code, return to the website and sign in with the username and password that you selected during registration. You’ll then be prompted to enter the SKC.<br />
<br />
If there is an Account Administrator assigned to your Tax ID Number (TIN) who has already completed registration, he/she can sign in and approve your access. Once approved, the Security Key Code or claims information will not be required.<br />
<br />
<em><strong>Please Note: </strong>if the address submitted during the registration process cannot be verified, you will be contacted for additional information in order to process the request. </em></span></span></p>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong><span style="font-family: arial,helvetica,sans-serif;"><span style="font-family: arial,helvetica,sans-serif;">Third Party Billers </span></span></strong></span></span><br />
<br />
<span style="font-size: 14px;"><span style="font-family: Arial,Helvetica,sans-serif;">We will accept a Letter of Permission (LOP) from the provider you represent. The Letter of Permission must be submitted on the provider’s letterhead (not the billing agency) and include the name of the registrant being granted permission and a signature from management or higher. A registrant cannot sign his/her own Letter of Permission.</span></span></p>
<p dir="ltr"><br />
<span style="font-size: 16px;"><span style="color: rgb(0, 74, 100);"><strong><span style="font-family: arial,helvetica,sans-serif;"><span style="font-family: arial,helvetica,sans-serif;">Registration Tutorial</span></span></strong></span></span></p>
<p dir="ltr"><span style="font-size: 14px;"><span style="font-family: arial,helvetica,sans-serif;">Watch the </span><a href="/images/8d2ffc17-c7fe-4446-8693-dc3dd01250da/myVACCN_Provider_Registration.mp4" target="_blank" >Registration Tutorial</a><span style="font-family: arial,helvetica,sans-serif;">. </span></span></p>
<p dir="ltr"> </p>]]></content></item>
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"sessionKeepAliveUrl": "/site/vaccn/main/secure/keep-alive",
"sessionExpirationSeconds": 600,
"sessionExpirationRemovalSeconds": 270,
"sessionExpirationRequestLegacyKeepAlive": false,
"sessionExpirationRedirectUrl": "/site/vaccn/main/secure/logout?redirect=/vaccn?loggedOut=true"
},
"pageMetadata": {
"lineOfBusiness": "VACCN",
"contract": "VACCN",
"loginDisabledUrl": "",
"enableLineOfBusinessSpecificElements": true,
"webApiName": "null",
},
"namespaceBindings": {"webApiBasePath":"https:\/\/services.pgba.com\/production\/{api_type}\/CICSB","displayBuildInfo":"false","remoteTricareInvalidateSessionUrl":"\/base-legacy\/Exit.do","agentApiPath":"\/PrimeAPI\/v2","appsCsrClaimsUrl":"\/apps\/csr-claims\/claim\/","providerApiPath":"\/ProviderAPI\/v2","webApiKey":"0056c25c-6fb2-4619-adf7-76684d93b0a5","defaultRegion":"PRODUCTION","remoteTricareKeepAliveUrl":"\/base-legacy\/sessionKeepAlive.jsp","primeApiPath":"\/PrimeAPI\/v2","loginDisabled":"false","beneficiaryApiPath":"\/BeneficiaryAPI\/v2"},
"siteAccess": {
"contractsFullSiteAuthentication": ["VACCN"],
"contractsFullSiteRegistration": ["VACCN"],
"constituentsFullSiteRegistration": ['PROVIDER', 'PROVIDER_ADMIN', 'PROVIDER_BILLING_AGENCY', 'PRIME']
}
};
</script>
<script type="text/javascript" src="/site/theme/js/footScript-amd.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript" src="/ui/pgba-landing-content.js?3.1.1.rc.3.85e32f5b"></script>
<script type="text/javascript" src="/ui/pgba-footer.js?3.1.1.rc.3.85e32f5b"></script>
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<div id="BuildInfo"><div class="BuildInfo" id="BuildInfo_0" widgetid="BuildInfo_0" style="display: none;">
<table summary="Details about the build version of the tri-web-ear installed on this server">
<tbody><tr>
<th style="text-align: right">Application Name:</th>
<td style="text-align: left"><span data-dojo-attach-point="versionInfoAppName"></span></td>
</tr>
<tr>
<th style="text-align: right">Build Version:</th>
<td style="text-align: left"><span data-dojo-attach-point="versionInfoBuildNum"></span></td>
</tr>
<tr>
<th style="text-align: right">Build Date/Time:</th>
<td style="text-align: left"><span data-dojo-attach-point="versionInfoBuildDateTime"></span></td>
</tr>
<tr>
<th style="text-align: right">CICS Region:</th>
<td style="text-align: left"><span data-dojo-attach-point="defaultRegion"></span></td>
</tr>
<tr>
<th style="text-align: right">Session ID:</th>
<td style="text-align: left"><span data-dojo-attach-point="sessionId"></span></td>
</tr>
</tbody></table>
</div></div>
</div>
<div class="ux popups" id="ux_Popups_0" widgetid="ux_Popups_0"></div></body></html>