Claim Overpayment / Refund to ChampVA
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.
Accepted Payment Methods:
- Bank account (ACH)
- Debit or credit card
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