To support the next generation of Veteran care, the VA engaged FTC in 2017 to build and implement a custom solution to automate the validation of claims and processing of reimbursements to Third Party Administrators (TPA) providing care for Veterans in a community-based care model – with TPAs delivering care to Veterans through their own Provider Network, remitting payment to providers on behalf of VA, and invoicing VA for reimbursement through the Community Care Claims Processing System. Working shoulder to shoulder with VA leadership, the FTC team delivered a transformative AWS-hosted Software as a Service (SaaS) solution that has increased and accelerated Veteran access to care, reduced provider attrition, and transformed the way VA processes and pays healthcare claims. With this automated solution, not only has the claims processing system been able to remit payments to TPAs in only six (6) days, but also cut the VA cost per claim by more than 80%, saving the VA over $267M since the inception of the program. Processing on average 3.2M claims per month, the claims processing system has paid more than 53M claims to date for a total of $28B, with a denial rate of just 0.7%! Further system upgrades have integrated the VA “Offset” process into the reimbursement workflow, allowing VA to recoup over $24M immediately, without requiring a lengthy Bill of Collections. This number continues to grow, allowing VA to use these recoupments to fund Veteran health and support other programs to improve quality of care. This has all established Community Care Claims Processing as an exemplary success story.