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Spokane VA Medical Center Notification of Emergency Room or Observation Event Fax to (509) 434-7158 TODAY S DATE: HOSPITAL NAME: HOSPITAL FAX: ER PHYSICIAN NAME: Phone #: DATE OF SERVICE: VETERANS.

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During a medical emergency, VA encourages all Veterans to seek immediate medical attention without delay. It is, however, important for you to promptly notify VA within 72 hours of a Veteran presenting to the your emergency room.... Optum Region 1: 888-901-7407. Optum Region 2: 844-839-6108. Optum Region 3: 888-901-6613.

We'll base your priority group on: Your military service history, and. Your disability rating, and. Your income level, and. Whether or not you qualify for Medicaid, and. Other benefits you may be receiving (like VA pension benefits)

You'll pay either our full copay rate or reduced copay rate. If you live in a high-cost area, you may qualify for a reduced inpatient copay rate no matter what priority group you're in. To find out if you qualify for a reduced inpatient copay rate, call us toll-free at 877-222-8387 (TTY: 711).

In general, VA can pay for emergency medical care at a local ER for a Veteran's service-connected condition, or if the care is related to a Veteran's service-connected condition.

A separate authorization for outpatient observation is not required.

Code Assist = Medical Emergency, non-life threatening. Code Violet= Disruptive Patient. Code Adam = Missing Child. Code White = Missing Patient.

A medical emergency is an injury, illness or symptom so severe that a delay in seeking immediate medical attention would be reasonably expected to be hazardous to life or health.

Veterans in Priority Group 1 have no copay for any VA medical service....Extended Care Copay: Inpatient: Up to $97 per day (Community living, nursing home, respite care, etc.) Outpatient: $15 per day (Adult day health care, respite care, geriatric evaluation, etc.) Domiciliary: $5 per day.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232