E-BILLING TIMELINE REQUIREMENTS
Pursuant to Va. Code Sec. 65.2-605.1(H), the Commission has established the following schedule pursuant to which employers, employers’ workers’ compensation insurance carriers and providers of workers’ compensation medical services shall be required to adopt and implement infrastructure under which providers of workers’ compensation medical services shall submit their billing and supporting documents to payers for such services electronically and payers shall return payments and remittance information electronically: (1) providers and payers may voluntarily begin such electronic submissions and payments beginning on the date that is six (6) months from the formal adoption of proposed regulations establishing the standards and methods for such electronic submissions and transactions; (2) providers and payers must make all submissions and remittances electronically in accordance with the final adopted regulations beginning December 31, 2018.
The proposed regulations shall be consistent with the International Association of Industrial Accident Boards and Commissions Medical Billing and Payment guidelines. A draft of the proposed regulations and associated companion guide shall be available on this website once it has been finalized.