Florida Department of State and Division of Library and Information Services

Rule Chapter: 69O-161
Chapter Title: UNIFORM INSURANCE CLAIM FORMS AND PRIOR AUTHORIZATION FORMS Add to MyFLRules Favorites
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Version		 Rule No. Rule Title Effective
Date
Rule file 69O-161.001 Purpose 1/11/2017
Rule file 69O-161.002 Scope 6/8/1994
Rule file 69O-161.003 Use of Industrial Life Insurance Claim Form 6/8/1994
Rule file 69O-161.004 Use of Health Insurance Claim Form 6/8/1994
Rule file 69O-161.005 Use of Dental Claim Form 12/5/1995
Rule file 69O-161.006 Use of Pharmacy Claim Form 6/8/1994
Rule file 69O-161.007 Use of Hospital Claim Form 6/8/1994
Rule file 69O-161.008 Additional Information 6/8/1994
Rule file 69O-161.009 Form Availability 1/11/2017
Rule file 69O-161.010 Guidelines for Prior Authorization Forms 1/11/2017
Rule file 69O-161.011 Use of Prior Authorization Form 1/11/2017


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