Key Facts: West Virginia Medical Billing Protections
Dispute Window
180 days from Explanation of Benefits (EOB)
Applicable Statute
Consumer Protections
Consumers may file complaints with the West Virginia Offices of the Insurance Commissioner
Surprise Billing Protection
Federal No Surprises Act applies
Balance Billing Restrictions
Federal protections only
Key Consumer Protections in West Virginia
- The federal No Surprises Act protects patients from surprise out-of-network bills for emergency services.
- West Virginia does not have a comprehensive state-level surprise billing law; federal protections apply.
- Patients have the right to request an itemized bill from any healthcare provider.
- West Virginia law requires insurers to process claims promptly.
- Consumers can file complaints with the West Virginia Offices of the Insurance Commissioner.
Read the full statute: W. Va. Code § 33-15
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Disclaimer: This information is for general informational purposes only and does not constitute legal or professional advice. Laws and regulations may change. Consult a licensed attorney or certified medical billing advocate for advice specific to your situation.
Content last reviewed: March 2026.