69L-3.017. Notice of Apportionment of Medical Reimbursement Due to a Pre-Existing Condition(s)

For dates of injury occurring on or after 10/1/2003, if the claim administrator decides to apportion payment of a medical benefit pursuant to Section 440.15(5), F.S., it shall send Form DFS-F2-DWC-12, Notice of Denial, or a letter to the employee explaining its apportionment decision, no later than three (3) business days after the date the claims-handling entity notified a health care provider that payment of the medical benefit will be apportioned pursuant to subsection 69L-7.602(5), F.A.C. Compliance with this rule is independent of and does not satisfy the notification requirement pursuant to subsection 69L-7.602(5), F.A.C.

Rulemaking Authority 440.185(5), 440.591 FS. Law Implemented 440.12(2), 440.15(3), (5) FS. History–New 10-10-12, Amended 6-30-14.