DMC does not collect nor have information concerning medical billing statements. If you wish to make a VA medical co-payment click here. If you need help completing the co-payment form call 866-400-1238.
If Treasury has sent you this letter, making a payment on this Web site will only delay application of the payment and will not preclude Treasury from adding fees to the amount you owe. Questions regarding Treasury collection should be directed to the telephone number on the Treasury collection letter.
This means the Department of the Treasury has referred your account for private collection. Making payments on this Web site will delay application of those payments to your account and will not preclude fees charged by the collection agencies or law firms.
If you are currently drawing VA benefits, it is possible that your debt has been offset from your next benefit check. To avoid overpaying your debt, you should contact the Debt Management Center at 800-827-0648 (TTY: 711) to confirm your balance before making a payment. If you make a payment and your debt balance is already cleared through offset, it can take up to 60 days to refund your payment. So please call before you make your payment. If you have difficulty getting through to DMC, we ask for your patience. We have added more telephone lines and operators and are making every effort to improve service.
If you have questions, please call the VA Debt Management Center at 800-827-0648 (TTY: 711) between 6:30 am and 6:00 pm Central time.
YOUR PRIVACY IS IMPORTANT TO US. PLEASE READ THE FOLLOWING:
Privacy Act Information: The information you furnish on this form, including your Social Security Number, is used to associate your payment with your accounts receivable record so that we may properly credit your account. Disclosure is voluntary. However, without disclosure, a credit card transaction or direct debit transaction cannot be processed. The responses you submit are confidential and protected from unauthorized disclosure by 38 U.S.C. 5701. The information may be disclosed outside the Department of Veterans Affairs (VA) only when authorized by the Privacy Act of 1974, as amended. The routine uses for which VA may disclose the information can be found in VA systems of records, including 58VA21/22, Compensation, Pension, Education and Rehabilitation Records-VA, and 88VA244, Accounts Receivable Records-VA. VA systems of records and alterations to the systems are published in the Federal Register. Any information provided by you, including your Social Security Number, may be used in computer matching programs conducted in connection with any proceeding for the collection of an amount owed by virtue of your participation in any benefit program administered by VA.
Respondent Burden: We need this information to determine or verify your indebtedness to VA ... Title 38, United States Code, allows us to ask for this information. We estimate you will need an average of 10 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed.
You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet page at http://www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
If you have comments regarding this burden estimate or any other aspect of this collection of information, contact:
U.S. Department of Veterans AffairsForm Number: 2900-0663 | Top of Page | Page Number : 1 |