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Can a carrier electronically submit the Form DWC-21?

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Can a carrier electronically submit the Form DWC-21?

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The Bureau is in the testing phase of a web-based DWC-21 data entry program. This program will allow carriers and qualified rehabilitation providers the ability to enter, save, submit, and print form DWC-21s from the internet. For more information about the website and electronic filing of the DWC-21, contact Cheryl Farner with the Bureau of Rehabilitation and Reemployment Services via e-mail or call (850) 245-3470. 11. Can a billing form be used other than the DWC-21? No. According to section 440.491, Florida Statutes, and rule chapter 6A-22, Florida Administrative Code, all services provided pursuant to section 440.491, Florida Statutes, must be reported to the Bureau on form DWC-21. 12. Can persons not listed in the Bureau’s directory of qualified rehabilitation providers be contracted to provide medical care coordination, a reemployment assessment, or reemployment services under section 440.491, Florida Statutes. No. Section 440.491(7)(d), Florida Statutes, states that a qualified

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