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Virginia Regulatory Town Hall
Virginia Workers' Compensation Commission
Virginia Workers' Compensation Commission
Workers’ Compensation Electronic Medical Billing [Under Development] [16 VAC 30 ‑ 16]
Workers’ Compensation Electronic Medical Billing
General Information
Action Summary The purpose of the proposed regulation is to adopt and implement infrastructure under which (i) providers of workers’ compensation medical services (“providers”) shall submit their billing, claims, case management, health records and all supporting documentation electronically to employers or employers’ workers’ compensation insurance carriers (“payers”) and (ii) payers shall return actual payment, claim status , and remittance information electronically to providers that submit their billing and required supporting documentation electronically. The proposed regulation will establish standards and methods for such electronic submissions and transactions that are consistent with the electronic medical billing and payment guidelines of the International Association of Industrial Accident Boards and Commissions.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project Yes  [004654]
Associated Mandates Workers' Compensation Electronic Medical Billing
Note This action is not intended to satisfy the requirement that an entire regulation be reviewed every 4 years.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7479 NOIRA Stage complete. Comment period ended 7/13/2016.
7963 Proposed Stage complete. Comment period ended 8/10/2018.
8463 Final Stage complete. This regulation became effective on 2/6/2019.
Contact Information
Name / Title: James J. Szablewicz  / Chief Deputy Commissioner
Address: Virginia Workers' Compensation Commission
333 E. Franklin Street
Richmond, VA 23219
Email Address:
Phone: (804)205-3097    FAX: (804)823-6936    TDD: ()-

This person is the primary contact for this chapter.