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VA HB676

VA HB676
Health insurance; claims; electronic attachments accepted, delayed effective date.


summary

Introduced
01/13/2026
In Committee
02/23/2026
Crossed Over
02/10/2026
Passed
Dead

Introduced Session

2026 Regular Regular Session

Bill Summary

Health insurance; carrier business practices; electronic attachments. Provides that, in the following contexts, information may be submitted by a provider to a health insurance carrier through electronic attachment, as defined in the bill: (i) information related to services rendered as required by the carrier in its provider contract; (ii) information related to any defect or impropriety that prevents the carrier from deeming a health insurance claim a clean claim, as defined in existing law; and (iii) information required to establish medical necessity, benefit coverage, or prior authorization of services, or to conduct reconsideration activities. The bill has a delayed effective date of January 1, 2027.

AI Summary

This bill updates Virginia law to allow healthcare providers to submit certain information to health insurance carriers electronically, specifically through electronic attachments, in various situations including information about services rendered, issues preventing a claim from being considered a "clean claim" (meaning it has all the necessary information to be processed without issues), and documentation needed to establish medical necessity, benefit coverage, or prior authorization for services. The bill also mandates that if a carrier uses a payment method that charges providers a fee, they must offer an alternative electronic payment method without such fees.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Passed Senate (40-Y 0-N 0-A) (on 02/26/2026)

bill text


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