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Florida Administrative Code (Last Updated: June 27, 2024) |
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69. Department of Financial Services |
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69L. Division of Workers' Compensation |
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69L-56. Electronic Data Interchange (Edi) Requirements For Proof Of Coverage And Claims (Non-Medical) |
1The following forms are incorporated herein by reference and adopted for use in filing Proof of Coverage (POC) and Claims (non-medical) Electronic Data Interchange (EDI) transactions to the Division. All of the forms may be obtained from the Division of Workers’ Compensation at its website, 46http://www.47myfloridacfo.com/WC48/edi49_clms50.html51.
52(1) DFS-F5-DWC-EDI-1, “EDI Trading Partner Profile” (1/01/20059860).
61(2) DFS-F5-DWC-EDI-2, “EDI Trading Partner Insurer/Claim Administrator ID List” (7110/01/200672).
73(3) DFS-F5-DWC-EDI-2A, 75“76EDI Trading Partner Claim Administrator Address List” (8410/01/200685).
86(4) DFS-F5-DWC-EDI-3, “EDI Transmission Profile-Sender’s Specifications” (9310/01/200694).
95(5) DFS-F5-DWC-EDI-4, 97“98Secure Socket Layer (SSL)/File Transfer Protocol (FTP) Instructions106” 107(1/01/2001088109).
110Rulemaking 111Authority 112440.591, 113440.593(5) FS. 115Law Implemented 117440.593 FS. 119History–New 3-5-02, Formerly 38F-56.001, 4L-56.001, Amended 5-29-05, 1261-7-07, 5-17-09.
