Division of Workers' Compensation

Office of Data Quality and Collection

Don Davis, Bureau Chief

Core Functions

Collection, quality control, analysis and reporting of medical data provided under workers' compensation.
Establishes and implements the rules, requirements, and processes for electronic reporting of the First Report of Injury, Subsequent Report of Injury and Proof of Coverage forms, using national EDI standardized file formats.
Monitors accuracy and timeliness of benefit payments; initiating intervention efforts when appropriate.
Provides for collection, distribution and archival of the division's imaged records.
Provides public record information.
Produces the division's annual report.
Responds to requests for division data.
Conducts an annual survey of private-sector workplace injuries and illnesses.
Tracks workplace fatalities and annually publishes a statistical report.

Contact Information

Bureau Chief Sr. Mngmt Analyst Supv.	Don Davis (850)413-1711, Don.Davis@myfloridacfo.com Linda Yon (850)413-1702, Linda.Yon@myfloridacfo.com

EDI Claims & Proof of Coverage	Karen Kubie (850)413-1703, Karen.Kubie@myfloridacfo.com
- Claims - Proof of Coverage	Margaret Forsman (850)413-1727, Margaret.Forsman@myfloridacfo.com or claims.edi@myfloridacfo.com Tonya Granger (850)413-1709, Tonya.Granger@myfloridacfo.com or poc.edi@myfloridacfo.com

EDI Medical	Theresa Pugh (850) 413-1721, Theresa.Pugh@myfloridacfo.com
- Electronic File/Website Submission	Mark Harrell (850)413-1734, Mark.Harrell@myfloridacfo.com Pi-Ching Huang (850)413-1758, Pi-Ching.Huang@fldfs.com Liane Rouse (850)413-1710, Liane.Rouse@myfloridacfo.com Duane White (850)413-1927, Duane.White@myfloridacfo.com

Electronic Document Management	Jerome Dilworth (850)413-1719, Jerome.Dilworth@myfloridacfo.com

Benefits Section	Edna Moore (850)413-1732, Edna.Moore@myfloridacfo.com Emma Jones (850)413-1743, Emma.Jones@myfloridacfo.com

Records Management
--Subpoenas --Public Records --Division Assigned Numbers --Data Requests	Rebecca Ardley (850)413-1716, Rebecca.Ardley@myfloridacfo.com Glenda McClamma (850)413-1715, Glenda.McClamma@myfloridacfo.com Glenda McClamma (850)413-1715, Glenda.McClamma@myfloridacfo.com Glenda McClamma (850)413-1715, Glenda.McClamma@myfloridacfo.com All requests for Division Assigned Numbers must be in writing (email, fax, or letter) and the following information must be provided: injured worker name; date of accident; reason for request, i.e., pursuant to 69L-3.003, FAC, the Division Assigned Number is needed to file the First Report of Injury or Illness (or specify other division form); and, name of individual and company name requesting number. If available, please provide the injured worker's date of birth and/or employer name.

Fatality Reporting	Carol Armstrong 1-800-219-8953, Carol.Armstrong@myfloridacfo.com Mailing address: OSH Statistical Unit 200 E. Gaines St. Tallahassee, FL 32399-4222

OSH Survey	Marsha Nims (850)413-1865, Marsha.Nims@myfloridacfo.com Mailing address: OSH Statistical Unit 200 E. Gaines St. Tallahassee, FL 32399-4222

Research Section	Ken Baugh (850)413-1742, Ken.Baugh@myfloridacfo.com

Mailing Address	Bureau of Data Quality and Collection 200 East Gaines Street Tallahassee, FL 32399-4226 (850)413-1607

Fax Numbers	Main Office - (850)410-5364 Records Management - Records - (850)414-7341 Medical - (850)921-0305 Benefits - (850)414-2246 EDI - (850)488-3453

Florida Statutory References

Section 119.07, Public Records Release
Section 440.13, Medical services and supplies; penalties for violations; limitations
Section 440.15, Compensation for disability
Section 440.185, Notice of Injury or death; reports; penalties for violations
Section 440.20, Time for payment of compensation; penalties for late payment
Section 440.593, Electronic Reporting