Champva provider portal

Provider Overview. Community providers are a vital part of VA’s high-performing health care network, ensuring eligible Veterans and their beneficiaries get the timely, high-quality health care they need. If you are a community provider interested in providing care to Veterans, please consider joining the new VA Community Care Network.

Study with Quizlet and memorize flashcards containing terms like Veterans of the U.S. armed forces may be covered by CHAMPVA. TRICARE. workers' compensation. Blue Cross/Blue Shield., Which of the following managed care plans require preauthorization for medical services such as surgery? HMOs PPOs EPOs Both A and B All of the above, A payment method in which providers are paid for each ...Leveraging technological advancements, online CHAMPVA provider portal application options are available, providing applicants with enhanced convenience and accessibility. As each step is completed, beneficiaries are closer to improved healthcare support, solidifying government responsibilities to those dedicated to serving our nation.In today’s digital age, providing a seamless customer experience is essential for businesses to thrive. One way to enhance customer experience is by creating an effective client lo...Provider Central. Change Healthcare Event. Click here for the most updated information on how we're supporting providers during the Change Healthcare cybersecurity event. Blue Cross Blue Shield of Massachusetts continues to conduct all business operations. Medical policy.The Department of Veterans Affairs (VA) CHAMPVA mobile application (app) is designed for medical service providers (VA and private practice) and beneficiaries as they plan care and medical procedures. Beneficiaries and providers use the app individually, or together during a patient encounter, to determine whether the VA will pay for care delivery.BECOME A VETERANS CHOICE PROVIDER. The VHA Office of Rural Health has moved this web page to a new location! Please visit the Community Care web site at Community Care and update your bookmarks accordingly. Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family member—like health care ...A web version of VA's legacy VA Form 10091, VA-FSC Vendor File Request Form is now available to all vendors to include medical providers, caregivers, individuals, and Veterans. This guide provides step-by-step instructions for anyone who needs to add themselves to the VA financial system to receive a payment or benefit must complete the ...

CHAMPVA Claim Form. VA Health Administration Center CHAMPVA PO Box 469064 Denver CO 80246-9064 1-800-733-8387. Attention: After reviewing the following, complete form in its entirety (print or typewritten only) and return with required documentation. ... Dates of service and provider charges on EOB must match billing statements. Timely filing ...To find a VA location or in-network community care provider, use the VA Facility Locator Tool. 855-673-4357 Veteran Care ... VA Community Care Provider Portal. 888-901-7407 Monday–Friday, 7:00 a.m.–7:00 p.m. local time. TriWest: Regions 4 and 5 ... Self-Service Options for CHAMPVA Providers. Eligibility, Claims, and Other Health …If you're a Member or Provider please call 888-509-6420. If you're a Client or Broker, please contact your Meritain Health Manager.Oct 2, 2560 BE ... of the CHAMPVA Guide and the CHAMPVA ... When you write to us, please include your name and phone number. ... If your provider accepts assignment, ...10-7959a NOTICE: Termination of marriage by divorce or annulment to the qualifying sponsor ends CHAMPVA eligibility as of midnight on the effective date of the dissolution of marriage. Changes in status should be reported immediately to CHAMPVA, ATTN: Eligibility Unit, PO Box 469028, Denver, CO 80246-9028 or call 1-800-733-8387.

champva list of providers | champva list of providers | champva providers near me list | champva providers in my area | providers who accept champva | champva w. Toggle navigation ... provider portal for champva: 1.08: 0.5: 2843: 94: Search Results related to champva list of providers on Search EngineThis portal is a reconciliation tool for providers and vendors to verify the status of claims and run payment reports. We are accepting access request from SAM.gov registered companies (System for Award Management). Login.CHAMPVA-Information in Providers. The Citizen Health and Medical Program of an Department of Veterans Affairs (CHAMPVA) is a comprehensive health care program for the spouse or widow(er) and children of can eligible Veteran. Through CHAMPVA, VA shares the costs of certain health care our and supplying with eligible recipients. ...The Government Employees Association CHAMPVA Supplement Plan, when combined with your CHAMPVA benefits, is designed to provide you with the protection you need when you need it. The plan will pay your cost share for both covered inpatient and outpatient medical expenses after you satisfy the calendar year plan deductible of $250 per person ...Please enter required fields to verify eligibility . Last Name. Date of Birth

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In today’s digital age, staying connected to your healthcare providers has never been easier. With the advent of online platforms and portals, patients can now access their medical...Billing and Claims. TriWest Healthcare Alliance, on behalf of the U.S. Department of Veterans Affairs (VA), is the third party administrator (TPA) and payer for the following networks: Community Care Network (CCN) Region 4. Community Care Network (CCN) Region 5. TriWest partners with PGBA to process and pay out claims to CCN providers who have ...There is an annual (calendar year) deductible for covered outpatient medical services and supplies. The deductible is $50 per beneficiary or a maximum of $100 per family per year. The annual deductible must be paid prior to CHAMPVA paying 75% of the allowable amount. There is no deductible requirement for inpatient hospital services, ambulatory ...Florida Medicaid Web Portal is the online platform for providers, recipients, and managed care plans to access information and services related to Medicaid.Join CCN. If you are a community provider located in Regions 1-5 and are ready to partner with VA to care for Veterans, sign up to join CCN today! Contact Optum or TriWest below: Regions 1, 2 and 3–Contact Optum: Region 1: 888-901-7407. Region 2: 844-839-6108. Region 3: 888-901-6613. Optum provider website. Regions 4 and 5–Contact TriWest:

In most cases, CHAMPVA's allowable amount—what we pay for specific services and supplies—is equivalent to Medicare/TRICARE rates. CHAMPVA has an outpatient deductible ($50 per beneficiary per calendar year or a maximum of $100 per family per calendar year) and a patient cost share of 25% of our allowable amount up to the catastrophic cap ($3,000 per calendar year).602. Most popular medical specialty of providers who acceptCHAMPVA in Georgia. Internist. CHAMPVA providers in Georgia listed on Doctor.com have been practicing for an average of: 29 year (s) Average ProfilePoints™ score for Providers in Georgia who take CHAMPVA: 42/80. Average Overall User Rating for Providers in Georgia who take CHAMPVA:The WA Compass Provider Portal is an online, cloud-based tool that launched in 2019 and is used by the DCYF Licensing Division to manage and provide information for child care and early learning providers, as well as Family, Friends, and Neighbor (FFN) providers. Early learning and FFN providers are able to provide updates to DCYF staff regarding their facility and care situations (for FFN ...AccessVA improves online interaction with the Department of Veterans Affairs (VA) for Veterans, family members, service members, and business partners by providing a single entry point for access to many VA websites and online applications. AccessVA enables VA websites and online applications to accept a growing number of federal and ...Provider Portal, PlanLink. PlanLink is Community Care Plan's online provider portal which gives participating providers the ability to: Check member eligibility and benefit information. Request authorizations. Check authorization status and claim status. Send electronic claim appeals/ corrections. Send messages to Community Care Plan (CCP)About this form. Make payments for VHA Family Member Program Debts and Overpayments. This form is intended for the payment of overpaid VHA Family Member Program medical claims and other debts owed to Veterans Health Administration. It should NOT be used for medical copays, deductibles, or donations.Save time and learn about our provider portal tools today. Health care professionals like you can access patient- and practice-specific information 24/7 within the UnitedHealthcare Provider Portal. You can complete tasks online, get updates on claims, reconsiderations and appeals, submit prior authorization requests and check eligibility ...Provider Identification. CHAMPVA identifies each provider by their nine-digit EIN/TIN (Employer Identification Number/Taxpayer Identification Number). Please ensure you are including the complete nine-digit EIN on your claim. EINs that include additional digits or alphas can slow the processing of claims and even cause payment to be submitted ...Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits • View and submit authorizations and referrals ...For CHAMPVA services furnished by non-VA providers, VA does cover such prescriptions for a maximum 90-day supply of medication per fill with three refills if …Community Care Overview. VA provides care to Veterans through community providers when VA cannot provide the care needed. Community care is based on specific eligibility requirements, availability of VA care, and the needs and circumstances of individual Veterans. VA also provides health care to Veterans’ family members and dependents through ...

In today’s digital age, technology has revolutionized the way healthcare providers deliver care and patients access their medical information. One platform that has gained signific...

Improvements to the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) will bring financial relief to older survivors and dependents of some disabled or deceased veterans who face medical expenses not paid by Medicare or other third-party payers. There is an annual (calendar year) deductible for covered outpatient medical services and supplies. The deductible is $50 per beneficiary or a maximum of $100 per family per year. The annual deductible must be paid prior to CHAMPVA paying 75% of the allowable amount. There is no deductible requirement for inpatient hospital services, ambulatory ... If a beneficiary sees an out-of-network provider, CHAMPVA will cover up to 75% of the cost for out-of-network services. CHAMPVA & Medicare Part D. Medicare Part D prescription drug plans are provided by Medicare-approved private insurance companies and offer beneficiaries coverage on their prescription medications. When CHAMPVA is combined with ...Downloadable PDF Download VA Form 10-10d (PDF) Related forms and instructions. VA Form 10-7959C. Form name: CHAMPVA—Other Health Insurance (OHI) Certification Use VA Form 10-7959C or Formulario VA 10-7959c (español) when: . You’re applying for CHAMPVA (Civilian Health and Medical Program of the Department of …The OptumRx Health Care Professionals Portal is a one-stop source for those who write and fill prescriptions. Skip to main content. Dynamic Alerts. Review Optum Rx Formulary Changes: Effective 1/1/24 : Optum guides providers through important upcoming formulary updates . View Updates . Close. Menu. Site Logo. Health care professionals website ...on your CHAMPVA Identification Card. If different names are used, it will cause a delay in the handling of claims and/or the rejection of claims could cause you to receive claims directly from your health care provider. Q7. How do I get more information? • Mail: VHA Office of Community Care CHAMPVA PO Box 469063 Denver, CO 80246-9063 •Provider Portal. Take care of business on YOUR schedule. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Easily check member eligibility. View, manage, and download your member list. View and submit claims. View and submit service authorizations. Communicate with us through secure messaging.Access the medical, behavioral, and dental provider portals for VA Community Care Network. Learn how to join the network, submit claims, and access resources for …Managed Care Entities can: Enroll, disenroll, and update primary medical providers. Review their encounter claims. Inquire on a managed care member's eligibility. In addition, the Portal provides access to a wide variety of IHCP information and resources. Website Requirements. Notify Me. HCP Provider Portal.CHAMPVA is a Department of Veterans Affairs program. TRICARE. TRICARE for Life. CHAMPVA. Top of Page. ... This is a preferred provider option that allows enrollees to seek care at discounted prices from providers in the TRICARE network. Eligibility requirements, benefits and cost-sharing requirements vary by each TRICARE plan. ...

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Provider Portal. Take care of business on YOUR schedule. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Easily check member eligibility. View, manage, and download your member list. View and submit claims. View and submit service authorizations. Communicate with us through secure messaging.Access your gammis account and manage your health care services online. Sign in with your organizational credentials or register here.Find a Quest Diagnostics Patient Service Center (a preferred network provider). Find a LabCorp Patient Service Center. HNFS does not endorse, approve, certify or control these external sites and does not guarantee the accuracy, completeness, efficacy or timeliness of information located at such sites.Provider Overview. Community providers are a vital part of VA's high-performing health care network, ensuring eligible Veterans and their beneficiaries get the timely, high-quality health care they need. If you are a community provider interested in providing care to Veterans, please consider joining the new VA Community Care Network.The CHAMPVA Supplemental Insurance Plan May Provide You Protection You May Need When A Serious Covered Accident or Sickness Occurs. GEA CHAMPVA Supplemental Insurance Plan: 100% coinsurance. 100% out-of-pocket costs for covered services. Pays 100% of Doctors Visits, Pharmacy, and Hospital Co-pays. Guaranteed acceptance (subject to pre-existing ...Pay CHAMPVA claims with electronic funds transfer. VA is now aligned with the Department of the Treasury’s requirement to use electronic funds transfer (EFT) for Civilian Health and Medical Program of VA (CHAMPVA) claim payments, as of August 2023. If you haven’t moved yet to EFT payment of CHAMPVA claims, we’ve made it easy for you to ...GEA CHAMPVA Supplemental Insurance Plan. The CHAMPVA Supplemental Insurance Plan, when combined with your CHAMPVA benefits, is designed to provide you with the protection you need when you need it.The plan will pay your cost share for both covered inpatient and outpatient medical expenses after you satisfy the calendar year plan deductible of $250 per person, $500 family maximum.The MyUNISA login portal is a valuable tool for students enrolled at the University of South Africa (UNISA). It provides access to important academic resources, course materials, a...This page provides information to providers about the CHAMPVA program. Apply for and manage the VA benefits and services you’ve earned as a Veteran, …Secure Provider Portal ….

Change Healthcare (CHC) Cybersecurity Breach. For those VA community providers serving beneficiaries of CHAMPVA, Spina Bifida Healthcare Benefits Program, Camp Lejeune Family Member Program, and Children of Women Vietnam Veterans Health Care Benefits Program, please follow the guidelines at the link below.Community Care Network Contact CenterProviders and VA Staff Only. Call: 877-CCN-TRIW (226-8749) Monday - Friday. 8 a.m. - 6 p.m. in your local time zone. TriWest is pleased to offer options to help callers with hearing or speech disabilities communicate telephonically. TTY 866-690-0891: Our Contact Centers accommodate calls on TTY devices ...Locate CHAMPVA Provider. The VA does not maintain a provider listing. Most Medicare and TRICARE providers will also see beneficiaries (but be sure you ask the provider). If you are having difficulty finding a provider, we recommend you visit the Medicare website and use the "Search Tools" at the bottom of that page to locate a Medicare ...The CHAMPVA deductible is applied to the first medical or pharmacy claims processed until the deductible is met. Annual CHAMPVA Deductible is $50 per beneficiary or a maximum of $100 per family per year. Annual Supplement Deductible is $250 per beneficiary or a maximum of $500 per family per year. Premiums illustrated are Per Person.Provider Overview. Community providers are a vital part of VA’s high-performing health care network, ensuring eligible Veterans and their beneficiaries get the timely, high-quality health care they need. If you are a community provider interested in providing care to Veterans, please consider joining the new VA Community Care Network.Medicare uses member eligibility files to verify secondary insurance carriers and routes the appropriate secondary claims to us for processing and payment. Provider eligibility verification (No login required) Add us to the Payer list in your Practice Management Software. You can submit inquires for eligibility, benefit, and claim status using ...1-866-984-2337. TRICARE Dental Program. United Concordia. TDD/TTY: 711. CONUS50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands: 844-653-4061. OCONUSAreas outside of the 50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana ...Refill VA Prescriptions - for Premium users registered as a VA patient or CHAMPVA beneficiary. ... View medications filled by providers at a VA health facility or by other providers outside the VA; as well as over the counter (OTC), herbal and dietary supplements that you have added to the medications list. Medicines that have expired or been ...Your Healthfirst Provider Portal account will be deactivated after 90 days of inactivity. You will then need to contact Provider Services or your Network Account Manager to restore portal access. Provider Secure Login. Welcome to the New Provider Portal. Returning User Login.The OptumRx Health Care Professionals Portal is a one-stop source for those who write and fill prescriptions. Skip to main content. Dynamic Alerts. Review Optum Rx Formulary Changes: Effective 1/1/24 : Optum guides providers through important upcoming formulary updates . View Updates . Close. Menu. Site Logo. Health care professionals website ... Champva provider portal, Explore VA life insurance options for Veterans, service members, and families. Manage your policy online, file claims for benefits, and access helpful resources. Get help planning a burial in a VA national cemetery, order a headstone or other memorial item to honor a Veteran's service, and apply for survivor and dependent benefits., Providers that accept CHAMPVA insurance are implicitly agreeing to accept the VA's allowable amount as payment in full. This means that whatever price the VA sets as the allowable amount for a given service or medical device (say, for instance, an X-ray), the provider agrees to accept. Due to this, a provider who accepts CHAMPVA cannot bill ..., For questions about Delta Dental, call 855-370-3303. For questions about MetLife, call 888-310-1681. The VA Dental Insurance Program (VADIP) offers discounted private dental insurance for Veterans and family members who meet certain requirements. Find out if you’re eligible, and how to enroll in a plan that meets your needs and budget., Myth 4: With CHAMPVA, I can't choose my own providers. CHAMPVA provides coverage through civilian doctors, and you can choose which participating provider you want to visit. Looking at the list of TRICARE and Medicare providers in your area is an excellent place to start locating a doctor who will accept CHAMPVA (also known as "accepting ..., 1-800-733-8387. This is a federal health benefits program for family members of totally and permanently disabled veterans who have a service-related disability. Civilian Health and Medical Program of the Veterans Affairs (CHAMPVA) is administered by the Department of Veterans Affairs and is not associated with the TRICARE program. For ..., CHAMPVA Claim Form (not for providers) 10-7959a; Meds by Mail - Prescription Order Form 10-0426; CHAMPVA Other Health Insurance Certification 10-7959c . ... Your providers can check on your eligibility or the status of a payment. Talk to a Customer Service Representative. Phone Toll Free: ..., Provider Login. Notice: We are currently experiencing a technical issue preventing users from accessing the Claim Editing System within the provider portal. We apologize for any inconvenience this may cause and appreciate your patience while we actively work on a resolution. Login here to access your account information and provider self-services., The call center can be reached at 1-866-262-5342 and further details can be found on the website. Change Healthcare Service Restoration status: SelmanCo has been making payments to our providers and policy holders while Change Healthcare restores services. SelmanCo will continue to do this service until restoration is complete., Enroll Online GEA CHAMPVA Supplement. Enrollment HELP: (888) 654-3129 ext. 3. The Plan is currently not available in CO, ME, NH, NY, OR, UT, WA. The CHAMPVA Supplemental Insurance is designed to provide peace of mind and helps protect you from co-insurance, Doctor bills, hospital, pharmacy cost., Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits • View and submit authorizations and referrals ..., "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., Login.gov - Access the Login.gov help center at 844-875-6446. ID.me - Go to the ID.me help center at ID.me's Help Center. DS Logon - Call the DMDC Support Office at 800-538-9552. My HealtheVet - Contact the My HealtheVet Help Desk at 877-327-0022 or 800-877-8339 (TTY), Monday to Friday, 7:00 a.m. — 7:00 p.m. (Central Time), The CHAMPVA customer service number is 800 733-8387, 8:05 a.m. to 7:30 p.m. EST Monday through Friday.This number can be difficult to get through on, so keep redialing.. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive health care program in which the VA shares the cost of covered health care services and supplies with eligible ..., www.vahcps.fsc.va.gov, The preferred method is for the provider to bill CHAMPVA electronically, but if the provider refuses, you may submit a paper claim to CHAMVPA for reimbursement. NOTE: Never pay the billed amount from the provider. This is rarely the allowable amount (Medicare rate) and generally greatly exceeds that amount. If you pay the billed amount CHAMPVA ..., This portal is a reconciliation tool for providers and vendors to verify the status of claims and run payment reports. We are accepting access request from SAM.gov registered companies (System for Award Management). Login. Contact. Phone Icon - Phone Contact 1-877-353-9791;, This self-service portal enables providers to: View Member Eligibility; View Member Benefits; View Claim Status; What is needed to obtain information? A one time registration to create your User ID and Password; Including billing Tax ID and NPI; HIPAA validation for each Member verification;, CHAMPVA. CHAMPVA Application for Benefits, VA Form 10-10d (Fillable PDF) CHAMPVA Claim Form, VA Form 10-7959a (Fillable PDF) NOTE: This form is not for provider use. CHAMPVA Other Health Insurance (OHI) Certification, VA Form 10-7959c (Fillable PDF) CHAMPVA School Enrollment Certification Letter (Fillable PDF), Hospice care from any provider is 100 percent covered under CHAMPVA. You can also get prescription coverage at no cost to you if you use the Department of Veteran Affairs (VA) Meds by Mail program., Eligible dependents can take advantage of unique cost-saving pharmacy benefits through CHAMPVA with the OptumRx pharmacy benefits manager and/or Meds by Mail home delivery. CHAMPVA is one of four family member-focused health benefits programs offered through VA. Under this program, VA shares the cost of covered health care services and supplies ..., CHAMPVA providers in Las Vegas, NV listed on Doctor.com have been practicing for an average of: 29.8 year(s) Average ProfilePoints™ Score for Providers in Las Vegas, NV who take CHAMPVA: 54/80: Average Overall User Rating for providers in Las Vegas, NV who take CHAMPVA: 5 (out of 5) Las Vegas, NV CHAMPVA Doctors by Zip Code. 89102; …, 1. Effective February 15, 2021, the VA has implemented changes to its community provider emergency treatment reporting process. VA requests all emergency notifications be reported through either the Emergency Care Reporting (ECR) portal, https://EmergencyCareReporting.CommunityCare.va.gov, or by calling 844-72HRVHA (844-724-7842)., If you are an individual provider that will be submitting claims using your own individual NPI, you have received a Medicaid ID for your individual practice location, and you need to sign up for ACH/EFT or have been directed to set up an account, click Create Account. Please enter your User ID and Password. User ID *. Password *., The process for filing a claim for services rendered to a Veteran in the community varies depending upon whether or not the services were referred by VA and by the entity through which the services were authorized–VA or one of the VA Third Party Administrators (TriWest Healthcare Alliance or Optum United Health Care)., Reporting Information. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a V A Dependent Care benefits program. CHAMPVA covers the cost of health care for the spouse or child of a Veteran who has disabilities or is deceased., Go to the new login page I forgot my login ID I forgot my password / Reset my password I'm ready to register as a new user, Find out how to become a provider for Veterans in the VA Community Care Network. Register, verify eligibility, and access resources., New Tool Simplifies Verification of Insurance Eligibility and Medicare Supplements Benefits, Total number of Family Doctors in Ohio on Doctor.com who Accept CHAMPVA: 205: Family Doctors in Ohio who are confirmed as being board certified and take CHAMPVA: 100%: CHAMPVAFamily Doctors in Ohio listed on Doctor.com have been practicing for an average of: 27.5 year(s) Average ProfilePoints™ score for Family Doctors in Ohio who take CHAMPVA ..., To apply for CHAMPVA benefits, you must submit the following documents: Application for CHAMPVA Benefits, VA Form 10-10d. Other Health Insurance (OHI) Certification, VA Form 10-7959c or Forma 10-7959c, Certificacion CHAMPVA de Otros Seguros de Salud (OSS) For individuals who are eligible for Medicare, for any reason, the VA also need a copy of ..., 65, have both Medicare Parts A and B, and are otherwise eligible for CHAMPVA. You are also eligible for CHAMPVA if you are over age 65 and eligible for Medicare. As a result of a law passed. on June 5, 2001, CHAMPVA coverage became available to beneficiaries over age 65. Review the following chart carefully as there are limitations if you only ..., Mar 26, 2024 · You can contact TriWest Provider Services at [email protected] or call TriWest’s toll-free CCN Contact Center at 877-CCN-TRIW (877-226-8749). Address to Submit Paper Claims to PGBA TriWest VA CCN Claims , Call 1-800-733-8387, (Monday through Friday from 8:05 a.m. to 6:45 p.m. Eastern Time) To apply for VA benefits and services, view your benefit status, and many more services go to www.va.gov and either logon with your eBenefits sign on or use www.Logon.gov to enroll. VA.gov is a one-stop source for information on Department of Defense and ...