{"data":{"id":"us-va/va.-code-32.1-138.15","jurisdiction":"us-va","citation":"Va. Code § 32.1-138.15","heading":"Regulations","body":"The Department shall promulgate regulations, pursuant to the Administrative Process Act (§ 2.2-4000 et seq.), to implement the provisions of this article, which shall include, but not be limited to, the following items:1. Minimum qualifications to perform review;2. Procedures which require the private review agent to provide the attending physician an opportunity to consult with a physician advisor prior to issuance of a final denial in any case in which there is an initial recommendation to deny coverage;3. Guidelines regarding access to and confidentiality of patient-specific medical records and information; and4. Setting the amount of any fees required by this article, which shall be sufficient to pay for the administrative costs of regulation under this article.1990, c. 826, § 38.2-5309; 1998, c. 129.","path":["Title 32.1. HEALTH","Chapter 5. REGULATION OF MEDICAL CARE FACILITIES AND SERVICES","Article 2.1. PRIVATE REVIEW AGENTS"],"source_url":"https://law.lis.virginia.gov/vacode/32.1-138.15/","current_through":"9/4/2026","vintage":"","retrieved_at":"2026-09-04T15:15:34Z","sha256":"6dc39cb91e3adb673ba0b539d0129fd9d0609b97572caa4cefc16bbd76ea973d","source_id":"us-va","stale":true,"prev":"us-va/va.-code-32.1-138.14","next":"us-va/va.-code-32.1-139"},"notice":"GroundRules: Original legal text. Not legal advice."}