VA 10-7959 Forms are used for various purposes related to the CHAMPVA program. These forms are specifically designed for beneficiaries of the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), which provides comprehensive healthcare benefits to the eligible dependents of certain Veterans. The forms serve different functions, such as certifying other health insurance coverage (OHI) and submitting claims for reimbursement.
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This document is used for data collection to determine payer status in cases when a beneficiary has additional health insurances. It is also used to provide information about changes in the beneficiary's health insurances.