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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:

Sentara HealthcareInova Health SystemHCA VirginiaVCU HealthBon Secours Mercy Health (Virginia)Carilion Clinic+ every other in-state provider

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/consumercomplaintform

Stop 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.

Other states

Audra also covers