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Federal Register / Vol. 86, No. 14 / Monday, January 25, 2021 / Notices personnel cleared for access to the data center. Access to computer rooms housing Federal data, hence Federal enclave, is restricted to persons Federally cleared for Federal enclave access through electronic badge entry devices. All other persons, such as custodians, gaining access to Federal enclave are escorted.
The Report of Intent to Amend a System of Records Notice and an advance copy of the system notice have been sent to the appropriate Congressional committees and to the Director of the Office of Management and Budget OMB as required by 5
U.S.C. 552ar Privacy Act and guidelines issued by OMB 65 FR
77677, December 12, 2000.
Signing Authority The Senior Agency Official for Privacy, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. James P. Gfrerer, Assistant Secretary of Information and Technology and Chief Information Officer, approved this document on July 24, 2020 for publication.
Dated: January 19, 2021.
Amy L. Rose, Program Analyst, VA Privacy Service, Office of Information Security, Office of Information and Technology, Department of Veterans Affairs.
SYSTEM NAME:

The Revenue Program-Billing and Collections Records-VA 114VA10
SECURITY CLASSIFICATION:

Unclassified.

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SYSTEM LOCATION:

Records are maintained at each Department of Veterans Affairs VA
health care facility. In most cases, backup computer tape information is stored at off-site locations. Address locations for VA facilities are listed in VA Appendix 1 of the biennial publication of VA Privacy Act Issuances. In addition, information from these records or copies of records may be maintained at, 810 Vermont Avenue NW, Washington, DC; the VA Austin Automation Center AAC, Austin, Texas; Veterans Integrated Service Network VISN Offices; VA Allocation Resource Center ARC, Boston, Massachusetts; and contractor facilities, such as the Cerner Technology Centers CTC; Primary Data Center in Kansas City, Missouri; and Continuity of Operations/Disaster Recovery COOP/

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DR Data Center in Lees Summit, Missouri. Records are also maintained at Amazon Web Services, LLC, 13461
Sunrise Valley Drive, Herndon, VA
201713283.
SYSTEM MANAGERS:

The official responsible for policies and procedures is the Deputy Under Secretary for Health, Office for Community Care 10D, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420. The local officials responsible for maintaining the system are the Director of the facility where the individual is or was associated.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:

Title 38, United States Code U.S.C., sections 1710 and 1729.
PURPOSES OF THE SYSTEM:

The records and information are used for the billing of, and collections from a third-party payer, including insurance companies, other Federal agencies, or foreign governments, for medical care or services received by a Veteran for a nonservice-connected condition or from a first party Veteran required to make copayments. The records and information are also used for the billing of and collections from other Federal agencies for medical care or services received by an eligible beneficiary. The data may be used to identify and/or verify insurance coverage of a Veteran or Veterans spouse prior to submitting claims for medical care or services. The data may be used to support appeals for non-reimbursement of claims for medical care or services provided to a Veteran. Data may be used in the Payer Compliance Tool to determine if third party payer information meets the requirement to reimburse VA. The data may be used to enroll health care providers with health plans and VAs health care clearinghouse in order to electronically file third party claims. For the purposes of health care billing and payment activities to and from third party payers, VA will disclose information in accordance with the legislatively-mandated transaction standard and code sets promulgated by the United States Department of Health and Human Services HHS under the Health Insurance Portability and Accountability Act HIPAA. The data may be used to make application for a National Provider Identifier NPI, as required by the HIPAA Administrative Simplification Rule on Standard Unique Health Identifier for Healthcare Providers, 45 CFR part 162, for all health care professionals providing examination or treatment within VA

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health care facilities, including the Centers for Medicare and Medicaid Services CMS National Plan and Provider Enumeration System NPPES.
The records and information may be used for statistical analyses to produce various management, tracking and follow-up reports, to track and trend the reimbursement practices of insurance carriers, and to track billing and collection information. The data may be used to support, or in anticipation of supporting, reimbursement claims from community health care providers or their agents. The data may be used to support, or in anticipation of supporting, reimbursement claims from academic affiliates with which VA
maintains a business relationship.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:

1. Veterans who have applied for health care services under Title 38, United States Code, Chapter 17, and in certain cases members of their immediate families.
2. Beneficiaries of other Federal agencies, including those receiving or eligible to receive VA health care.
3. Individuals examined or treated under contract or resource sharing agreements.
4. Individuals examined or treated for research or donor purposes.
5. Individuals who have applied for Title 38 benefits, but who do not meet the requirements under Title 38 to receive such benefits.
6. Individuals who were provided medical care under emergency conditions for humanitarian reasons.
7. Pensioned members of allied forces Allied Beneficiaries who are provided health care services under Title 38, United States Code, Chapter 1.
8. Health care professionals providing examination or treatment to any individuals within VA health care facilities.
9. Health care professionals providing examination or treatment to individuals under contract or resource sharing agreements or Community Care programs, such as Choice.
10. Caregivers.
CATEGORIES OF RECORDS IN THE SYSTEM:

The records may include information related to:
1. The Social Security number and insurance policy number of the Veteran and/or Veterans spouse. The record may include other identifying information e.g., name, date of birth, age, sex, marital status and address information e.g., home and/or mailing address, home telephone number.
2. Insurance company information specific to coverage of the Veteran and/

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