The Medical Fee Dispute Resolution Process provides instructions for providers and payers when there is a dispute for medical dates of service prior to 01/01/2018.
Click here to provide comments on the Medical Fee Schedule Dispute Resolution Process.
Overview and Methodology of the VWC Medical Fee Schedule.
An EDI transaction is rejected when it does not pass the edits applied by Virginia to the data elements. The reason for rejection can be found on the Acknowledgement Record.
The Transaction Rejection Training Aid covers the following:
The Medical Fee Schedule Project Timeline was updated on 03/29/2018.
The Medical Fee Schedule Project Timeline includes the project plan and event timeline to implement the fee schedules.
The Medical Fee Schedule Ground Rules Document provides general information and instruction on how to interpret the medical fee schedules.
The Claims Services Quick Reference Guide includes information on the following topics:
By choosing the Paperless Option, the user agrees to be bound by and adhere to the following terms and conditions:
Claim Administrator organizations that use WebFile have the option to "go paperless". The organizations that opt into this program will rely only on electronic notifications from the Commission and will no longer receive paper copies of notices and filings.
Here are a few things to know about the paperless option:
This a complete packet containing all of the EDI Training Aids currently available to Claim Administrators. This packet was designed so that a user could download all Training Aids at once and either save as one document on their computer or print and place in a binder. A table of contents is available to assist with locating which Training Aid is needed.
Many Claim Administrators and their Attorneys have questions about howto report the payment of a Compromise Settlement once it has been approved by the Commission. This document was created to help them with their submissions to ensure accuracy and acceptance.
The Reporting of Compromise Settlements Training Aid includes the following:
