Florida Department of State and Division of Library and Information Services
Notice: 17114600
Final Adopted Version in F.A.C.
Department: DEPARTMENT OF FINANCIAL SERVICES
Division: Division of Workers' Compensation
Chapter: WORKERS' COMPENSATION MEDICAL REIMBURSEMENT AND UTILIZATION REVIEW

VIEW NOTICE

Overview
RULE:
69L-7.720   Forms Incorporated by Reference for Medical Billing, Filing and Reporting
RULE FILE DATE: 1/29/2016
RULE EFFECTIVE DATE: 2/18/2016
HISTORY NOTES: Rulemaking Authority 440.13(4), 440.15(3)(b), (d), 440.185(5), 440.525(2), 440.591, 440.593(5) FS. Law Implemented 440.09, 440.105(7), 440.13(2)(a), (3), (4), (6), (11), (12), (14), (16), 440.15(3)(b), (d), (5), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS. History–New 2-18-16.
OVERSIGHT COMMITTEE: Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)
RELATED COURT CASES: Division of Administrative Hearings
FEDERAL RULES
AND REGULATIONS: 		Electronic Code of Federal Regulations
HOW TO LINK TO
THIS NOTICE: 		http://flrules.org/gateway/ruleno.asp?id=69L-7.720&Section=0
REFERENCE MATERIALS: Ref-06186 DFS-F5-DWC-9-A
Ref-06187 DFS-F5-DWC-9-B
Ref-06188 DFS-F5-DWC-9-C
Ref-06189 DFS-F5-DWC-10
Ref-06190 DFS-F5-DWC-10-A
Ref-06191 DFS-F5-DWC-11-A
Ref-06192 DFS-F5-DWC-25
Ref-06193 DFS-F5-DWC-25-A
Ref-06194 DFS-F5-DWC-90-A (UB-04)
Ref-06195 DFS-F5-DWC-90-B (UB-04)
Ref-06196 DFS-F5-DWC-90-C (UB-04)
Ref-06197 DFS-F5-DWC-90-D (UB-04)


Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.