Virginia prompt pay law dental

Sourced answer

Under Va. Code §38.2-3407.15, the Virginia payment deadline is 40 days (contracted providers, no format split). The payment rule is about timing and demand, not rate: "Any interest owing or accruing on a claim under §38.2-3407.1 or 38.2-4306.1, under any provider contract or under any other applicable law, shall, if not sooner paid or required to be paid, be paid, without necessity of demand, at the time the claim is paid or within 60 days thereafter" (subdivision B 3). Dental applicability: Dental is inside the subject matter: "health care services" means items or services furnished to any individual for the purpose of preventing, alleviating, curing, or healing human illness, injury or physical disability, and "carrier" reaches any person required to be licensed under the title that operates a managed care health insurance plan or provides or arranges health care services, plans, networks, or provider panels regulated as the business of insurance. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.