Virginia Regulatory Town Hall
Virginia Workers' Compensation Commission
Virginia Workers' Compensation Commission
Electronic Medical Billing [16 VAC 30 ‑ 16]
Chapter is Exempt from Article 2 of the Administrative Process Act
Action is Exempt from Article 2 of the Administrative Process Act
Workers’ Compensation Electronic Medical Billing
Action 4522
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.
Executive Branch Review This Action is exempt from Article 2 of the Administrative Process Act. The normal executive branch review process is not required. As such, it can be submitted directly for publication and is effective upon publication.
RIS Project Yes  [004654]
Associated Mandates Workers' Compensation Electronic Medical Billing
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7479 NOIRA Stage complete. Comment period ended 07/13/2016.
7963 Proposed Stage complete. Comment period ended 08/10/2018.
8463 Final Stage complete. This regulation became effective on 02/06/2019.
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.