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July 2004
VA Health Care:
Guidance Needed for Determining
the Cost to Collect from
Veterans and Private Health
Insurers
During a May 2003
subcommittee hearing, questions were raised about the accuracy of
the Department of Veterans Affairs' (VA) reported costs for
collecting payments from veterans and private health insurers for
its Medical Care Collections Fund (MCCF). The subcommittee also
had questions about VA's practice of using third-party
collections to satisfy veterans' first-party debt. GAO's
objectives were to determine: (1) the accuracy of VA's reported
cost for collecting first-and third-party payments from veterans
and private health insurers, and (2) how VA's practice of
satisfying first-party debt with third-party payments affects the
collections process.

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