16 Va. Admin. Code § 30-16-80 - Medical documentation necessary for billing adjudication
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.
Notes
Statutory Authority: § 65.2-605.1 of the Code of Virginia.
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