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Billing and Reporting Materials Incorporated by Reference

The following materials describe in detail the medical information health care providers are required to document for reimbursement.

Specifically, the billing rule series, 69L-7, F.A.C., describes the billing information each health care provider type is responsible for reporting to the carrier and how the information is to be reported. The Reference Material Rule series 69L-8, F.A.C., lists the coding reference materials to be used in conjunction with the billing and reporting responsibilities discussed in the billing rule, to properly describe and report services rendered.

This information is made available to assist health care providers in properly reporting and submitting an accurately completed medical claim form to expedite the authorization of medically necessary care, and the timely processing of medical claims for reimbursement.

69L-7 Workers' Compensation Medical Reimbursement and Utilization Review

69L-7.720Forms Incorporated by Reference for Medical Billing, Filing and Reporting
69L-7.730Health Care Provider Medical Billing and Reporting Responsibilities
69L-7.740Insurer Authorization and Medical Bill Review Responsibilities
69L-7.750Insurer Electronic Medical Report Filing to the Division

69L-8 Selected Materials Incorporated by Reference

69L-8.071Materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual
69L-8.072Materials for use with the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers
69L-8.073Materials for use with the Florida Workers’ Compensation Hospital Reimbursement Manual
69L-8.074Materials for use throughout Rule Chapter 69L-7, F.A.C.