Virginia Administrative Code
Title 14 - INSURANCE
Agency 10 - VIRGINIA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION PROGRAM
Chapter 10 - VIRGINIA BIRTH-RELATED NEUROLOGICAL INJURY COMPENSATION PROGRAM REGULATIONS
Part I - General Procedural Requirements
Section 14VAC10-10-20 - Primary insurance
Current through Register Vol. 41, No. 3, September 23, 2024
A. Medical services that are required to be precertified, preauthorized, or authorized by the admitted claimant's primary insurance provider may not be payable by the Virginia Birth-Related Neurological Injury Compensation Program (Program) if the primary insurance carrier's certification or authorization process has not been satisfied.
B. Admitted claimants must utilize the primary insurer's in-network providers and facilities unless otherwise authorized by the Program. Utilizing non-network or nonparticipating providers or facilities may result in reduced payment or nonpayment of incurred expenses.
Statutory Authority: § 38.2-5002.1 of the Code of Virginia.
