Insurers
Medical Fee Dispute Resolution Process
The medical community regions map displays the location within the community for providers of medical services. The zip code for the location where medical services are rendered determines the medical community region.
Medical Fee Schedule Ground Rules Document Update Notice
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.
Medical Fee Schedule Update Notice
The Medical Fee Schedule Update Notice provides instruction and notification for amendments made to the schedules.
ADR Brochure
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.
Medical Fee Schedule Regulations
The Medical Fee Schedule Regulations identifies Commission authority in relation to the medical fee schedule.
Variance Notification Example
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.
Medical Fee Schedule Dispute Resolution Process
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.
Medical Fee Schedule Overview and Methodology
Overview and Methodology of the VWC Medical Fee Schedule.