{"data":{"id":"us-va/16vac30-16-80","jurisdiction":"us-va","citation":"16VAC30-16-80","heading":"Medical documentation necessary for billing adjudication","body":"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.\n\nB. Any request by the payer for additional documentation to process a medical bill shall conform to the requirements of 16VAC30-16-60 C.\n\nC. It is the obligation of an insurer or employer to furnish its agents with any documentation necessary for the resolution of a medical bill.\n\nD. 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.","path":["Title 16. Labor And Employment","Agency 30. Virginia Workers' Compensation Commission","Chapter 16. Electronic Medical Billing"],"source_url":"https://law.lis.virginia.gov/admincode/title16/agency30/chapter16/section80/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:52:11Z","sha256":"a9b244ed727d2d369684f861576827a1538fa464904135a77d519882aabad177","source_id":"us-va-vac","stale":false,"prev":"us-va/16vac30-16-70","next":"us-va/16vac30-30-10"},"notice":"GroundRules: Original legal text. Not legal advice."}