Last updated: 11/26/2024
EDI Trading Partner Insurer-Claim Administrator ID List {EDI-2}
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Description
DFS-F5-DWC-EDI-2 - EDI TRADING PARTNER INSURER/CLAIM ADMINISTRATOR ID LIST. This form is used by the Florida Department of Financial Services, Division of Workers' Compensation, to collect and verify the legal names, Federal Employer Identification Numbers (FEINs), and carrier or service company codes for insurers, claim administrators, and third-party administrators (TPAs) involved in workers' compensation claims. This list is necessary for Electronic Data Interchange (EDI) filings related to claims and point-of-contact (POC) transmissions. The information provided helps reconcile profile records and ensure accurate processing of EDI transactions. If there are any changes to the listed insurers or administrators, the trading partner must submit an updated form. www.FormsWorkflow.com
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