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State IDR guide

Virginia Independent Dispute Resolution Guide

Responsible agency
Virginia State Corporation Commission, Bureau of Insurance

Virginia is a bifurcated state. State arbitration may apply to protected emergency and certain facility-based services under regulated plans and self-funded plans that opt in.

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01 / Virginia

Plan and jurisdiction considerations

Confirm Virginia jurisdiction or a documented self-funded election, along with service and facility scope. Non-opted-in ERISA self-funded plans ordinarily remain federal.

02 / Virginia

Federal fallback

Federal IDR generally applies to eligible self-funded claims without a Virginia opt-in and other state-law gaps.

03 / Virginia

Timing and fees

Virginia requires a good-faith effort before arbitration and uses state-specific deadlines, forms, and cost rules. Confirm current SCC materials.

04 / Virginia

Air ambulance considerations

Air ambulance disputes generally use Federal IDR if eligible.

Not legal advice. This guide is general information. Consult current agency instructions and qualified counsel for legal interpretation.

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