VA LEG Health Insurer Payment Method

Published on: Apr 10, 2025

On Mar. 21, VA LEG issued bill on claim payment method options.

  • VA LEG passed HB 2085 (SB 925) on health insurance carrier claim payment methods.
  • Amended VA INS 38.2-34-1-38.2-3407.15 on ethics and fairness in carriers practices.
  • Document dated Mar. 21, 2025, was received on Apr. 7, 2025, due to a fixed feed.
  • Bill Provisions
  • Insurer must notify the provider in the provider contract if the carrier uses a payment method that imposes a transaction or processing fee or similar charge on the provider.
  • Must offer provider an alternative payment method in which the carrier, or entity completing a transaction on behalf of carrier, does not impose such fee/similar charge.
  • If provider elects to accept alternative payment method and has provided all required information to enroll in alternative method, carrier shall pay claim using such method.
  • Legislative History
  • On Jan. 20, 2025, bill was introduced in House; on Jan. 22, 2025, bill passed House.
  • On Jan. 23, 2025, bill was introduced in Senate; on Feb. 13, 2025, bill passed Senate.
  • On Mar. 21, 2025, bill was signed into law by the governor, bill assged Chapter 236.
  • Effectiveness
  • Act is effective Jul. 1, 2025.
Regulators
VA LEG
Entity Types
Ins
Reference
Ch. 236, Bill SB925, HB2085, 3/21/2025; Citation: VA INS 38.2-34-1-38.2-3407.15;
Functions
Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 21, 2025
Effective Date
Jul 1, 2025
Rule ID
250132
Linked to
N/A
Reg. Last Update
Mar 21, 2025
Report Section
US Insurance