Revised Rules within 69L-31, F.A.C.
The final adopted versions of the revised Rules within 69L-31, F.A.C., Utilization and Reimbursement Dispute Rules, have been published in the Florida Administrative Register. These Rules will become effective on August 2, 2021, and they may be viewed here.
*PLEASE NOTE* The updated forms will be required for Petitions filed on or after August 2, 2021. Both forms may be viewed on the Florida Administrative Register site:
69L-31.003, F.A.C. DFS Form 3160-0023 (Petition for Resolution of Reimbursement Dispute)
69L-31.004, F.A.C. DFS Form 3160-0024 (Carrier Response to Petition for Resolution of Reimbursement Dispute)
Both forms, DFS Form 3160-0023 (Petition for Resolution of Reimbursement Dispute) and DFS Form 3160-0024 (Carrier Response to Petition for Resolution of Reimbursement Dispute) will be available at the Division’s Forms Page, under the 69L-31 dropdown, on August 2nd, 2021.
*PLEASE NOTE* The updated forms will be required for Petitions filed on or after August 2, 2021. Both forms may be viewed on the Florida Administrative Register site:
69L-31.003, F.A.C. DFS Form 3160-0023 (Petition for Resolution of Reimbursement Dispute)
69L-31.004, F.A.C. DFS Form 3160-0024 (Carrier Response to Petition for Resolution of Reimbursement Dispute)
Both forms, DFS Form 3160-0023 (Petition for Resolution of Reimbursement Dispute) and DFS Form 3160-0024 (Carrier Response to Petition for Resolution of Reimbursement Dispute) will be available at the Division’s Forms Page, under the 69L-31 dropdown, on August 2nd, 2021.
