Submitted by: Richmond Academy of Medicine
WHEREAS, insurers impose deadlines on when physicians may submit a bill and if a bill is submitted after this date it will not be paid, and
WHEREAS, on the other hand, pre-authorized procedures patients have had completed can be denied by insurers year later, and
WHEREAS, there seems to be no statute of limitation on when insurers can do a review and reverse a coverage decision for care the patient/family thought was long since covered, therefore be it
RESOLVED, the Medical Society of Virginia support the implementation of a mandatory deadline of no less than twelve months from the date of service for physicians to submit claims; and further be it
RESOLVED, the Medical Society of Virginia support requiring insurers to add a minimum of 30 days to the submission deadline every time they kick a claim back to a physician for any reason, and be it further
RESOLVED, that the Medical Society of Virginia support enforcement of coverage for pre-authorized services by insurance companies and prevents later reversal of already granted pre-authorization.