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Chart View: Va. Medical Payments

13 Jul, 2023 Frank Ferreri

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Richmond, VA (WorkersCompensation.com) -- One of the important parts of workers' compensation law has to do with how bills get paid for injured workers.

So, states, like Virginia, devote regulatory and legislative attention to that question.

Here's what the Old Dominion requires on payments.

TopicsVa. Rules
When payment must be made, generallyPayment for health care services that the employer does not contest, deny, or consider incomplete must be made to the health care provider within 60 days after receipt of each separate itemization of the health care services provided.
Contested itemizationIf the itemization or a portion of the bill is contested, denied, or considered incomplete, the employer or carrier must notify the health care provider within 45 days after receipt of the bill.
Incomplete claim informationPayment or denial must be made within 60 days after receipt from the health care provider of the information requested by the employer/carrier for an incomplete claim.
InterestPayment due for any properly documented health care services that are neither contested within the 45-day period nor paid within the 60-day period, will be increased by interest at the judgment rate of interest retroactive to the date payment was due. 
Recovery of paymentsNo employer or workers' compensation carrier may seek recovery of a payment made to a health care provider for health care services rendered after July 1, 2014, to a claimant, unless such recovery is sought less than one year from the date payment was made,  except in cases of fraud. The Commission will have jurisdiction over any disputes over recoveries.
Balance billingBalance billing is prohibited by the Workers' Compensation Act

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    About The Author

    • Frank Ferreri

      Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law.

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