State guide · VA ·
Dispute a medical bill in Virginia.
Virginia gives you stronger protections than federal law alone. Audra audits your bill against Virginia Balance Billing Protection Act (HB 1251 / SB 172 of 2020), the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
Virginia Balance Billing Protection Act (HB 1251 / SB 172 of 2020)
Cite: Va. Code § 38.2-3445.01 et seq.
Virginia's Balance Billing Protection Act prohibits balance billing for emergency services and care from out-of-network providers at in-network facilities. Disputes go to the State Corporation Commission Bureau of Insurance arbitration.
Your rights
What Virginia protects you from.
- 01
Patients pay only in-network cost-sharing for emergency care + out-of-network services at in-network facilities.
- 02
Bureau of Insurance administers binding arbitration; patient is not a party.
- 03
Hospitals must give a list of in-network providers at scheduled procedures.
- 04
Air ambulance balance billing fully prohibited under federal NSA.
How Audra helps
From upload to appeal in 60 seconds.
01
Upload your bill
Drop a PDF, photo, or EOB into Audra. Encrypted in your browser before it leaves your device.
02
We check it against the law
Audra cross-references every line item against Virginia Balance Billing Protection Act (HB 1251 / SB 172 of 2020), the federal No Surprises Act, your insurer's contracted rates, and CMS billing rules.
03
Get a ready-to-send appeal
We draft a letter citing the specific VA statute and any federal protections that apply, formatted for your insurer and provider. Print it, email it, or send it from inside Audra.
In-state coverage
Works for bills from any Virginia provider.
Audra audits bills from every major hospital system in Virginia, including:
If your bill comes from an out-of-state provider, Audra still works — federal protections apply nationwide.
If the provider won't budge
File a complaint with the VA Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the Virginia Attorney General — Consumer Protection Section. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
Virginia Attorney General — Consumer Protection Section
www.oag.state.va.us/consumercomplaintformStop paying what you don't owe.
Your first audit is free. After that, $30 per bill, or $15/mo for up to 25 audits/month.
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