- A. Medical documentation includes all medical reports and records permitted or required in accordance with Rule 4.2 of the Rules of the Virginia Workers' Compensation Commission, subdivision 2 of 16VAC30-50-50.
- B. Any request by the payer for additional documentation to process a medical bill shall conform to the requirements of 16VAC30-16-60 C.
- C. It is the obligation of an insurer or employer to furnish its agents with any documentation necessary for the resolution of a medical bill.
- D. Health care providers, health care facilities, third-party biller, third-party assignees, and claims administrators and their agents shall comply with all applicable federal and jurisdictional rules related to privacy, confidentiality, and security.
Statutory Authority
§ 65.2-605.1 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 35, Issue 10, eff. February 6, 2019.