Florida Department of State and Division of Library and Information Services

Reference: Ref-15489

Reference Name: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Agency: 69 Department of Financial Services
69H Division of Risk Management

Original Document(s):
6/6/2023 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Modified Document(s): No Modified document(s).
Description: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
69H-2.008 		Other Forms Adopted 27290191 Effective:
07/18/2023



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.