I have a loaded question. We have a client who was referred by the local VA clinic for nurse visits. We admitted this person under VA and received weekly NV and OT visits through VA. Due to needs our nurse requested daily NV from VA. We received auth for that and then yesterday a person from HealthNet contacted our nurse to give auth for daily NV through Veterans Choice program. I wasn’t sure who the payer should rightly be so I called the VA home and community care. I was advised to just bill the VA as we  have auth from them. However the HealthNet rep said we have to bill who the veteran chooses and they chose HealthNet. To further complicate matters, the client has coverage to see a local specialty dr. in our area as he cannot do the 3-4 hr commute to Minneapolis. So I am not sure if he only gets that coverage from the Veterans Choice program and if that is why he chose that program. We aren’t willing to work with the Veterans choice program due to the payment issues so I am stuck in a dilemma I cannot solve. Any advice?????