The ADR Brochure provides a useful overview of the four basic dispute resolution services offered by the Commission’s ADR Department -- Full and Final Mediation, Issue Mediation, Issue Facilitation, and Orientation Sessions -- as well as contact information for more learning.
This is an example of a Variance Notification. Upon receipt, Claim Administrators should check the file payment history against the award history. If there are any payment discrepancies, submission of an EDI transaction will be required to reconcile.
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.
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:
These are commonly used workers’ compensation terms for the Commonwealth of Virginia. These definitions are general in nature and are not intended as a legal guide or a substitute for legal advice. Changes in the law and/or the specific facts of your case may result in legal interpretations different than those presented here.
The purpose of the Cost of Living Adjustment (COLA) is to ensure, as much as possible, that the value of compensation benefits paid under the Virginia Workers’ Compensation Act does not diminish due to inflation. COLA rates change yearly and are effective October 1 of each year.
