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The provider must complete form DFS-F5-DWC-25 to request authorization for a medical treatment plan, to communicate to the carrier an injured employees medical status, to document the injured employees date of Maximum Medical Improvement (MMI date), and to document a Permanent Impairment Rating (PI Rating).
How to file a workers comp claim in Florida?
Claims Reporting: Report all claims to AmeriSys at 1-800-455-2079. In a medical emergency, transport the injured employee to the nearest medical facility or call 911 for emergency assistance. Following the arrangement of emergency medical treatment for the injured employee, contact AmeriSys at 1-800-455-2079.
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(d) Insurers and health care providers shall utilize only the Form DFS-F5-DWC-25 for physician reporting of the injured employees medical treatment/status. No
Enabling DWC can improve the performance, but with the risk of data loss. Use Cursor Keys To Navigate Between Items And Press Enter To Select An Option. LSI
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