Get Pfrars

The Preliminary Fee Remittance Advice Report (Pfrars) is an essential document for reconciling billing and claims related to VA services. This guide provides clear, step-by-step instructions to ensure that you can accurately fill out the Pfrars online.

Follow the steps to successfully complete the Pfrars online.

1. Click the ‘Get Form’ button to obtain the form and open it in your online editing interface.
2. Start by entering the date at the top of the Pfrars. This is essential for record-keeping and should reflect the processing date of the claim.
3. Fill in the identifying information of the originating VA facility, including the facility name, address, and contact details.
4. Provide details regarding the claimant or vendor, ensuring that their name and address are accurately filled in.
5. Input the patient identification information, including their initials and the last four digits of their Social Security number.
6. Record the claim period, ensuring that you enter the start and end dates accurately to reflect when the services were provided.
7. Enter the program status and the claim ID, along with any relevant claim adjustment codes as applicable.
8. Fill in the sections detailing the service dates, revenue codes, diagnosis codes, quantity billed, and the amount paid.
9. Carefully review all entered information for accuracy, ensuring that every relevant field is completed.
10. Save your changes, and if needed, download, print, or share the completed form as required.

Complete your documents online for streamlined processing and record management.