69L-34.002. Mandatory Carrier Reporting

A Carrier shall have met the requirements to report to the Division, pursuant to section 440.13(8), F.S., all instances of overutilization and improper billing and billing errors, including all instances in which the Carrier disallows or adjusts payment, by timely filing the required medical claims data elements with the Division, as required in subsections 69L-7.710(5) and (6), F.A.C., or denies authorization of a recommended medical benefit by issuing a Notice of Denial Form DFS-F2-DWC-12, pursuant to rule 69L-3.012, F.A.C.

Rulemaking Authority 440.13(4)(c), (7)(e), 440.591 FS. Law Implemented 440.13(8) FS. History–New 9-6-11.