Florida Regulations 59A-31.009

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§ 59A-31.009 Carrier Response Requirements.

(1) The Carrier Response to Petition for Resolution of Reimbursement Dispute Form, accompanied by all requested information, must be served upon the Agency within ten (10) days after receipt of a copy of the petition by United States Postal Service (USPS) certified mail. However, where the Carrier has received curative documentation from the Petitioner pursuant to subsection 59A-31.005(2), F.A.C., the Carrier Response to Petition for Resolution of Reimbursement Dispute Form, accompanied by all requested information, must be served upon the Agency within ten (10) calendar days after receipt, by the carrier of the curative documentation from the Petitioner. The carrier�s response to the petition must include a completed Carrier Response to Petition for Resolution of Reimbursement Dispute Form (AHCA Form 3160-0024, effective September 8, 2006). Failure of the carrier to meet these requirements constitutes waiver of all objections to the petition.

(2) The carrier shall provide to the petitioner, using a delivery method which provides confirmation of date of delivery, at the petitioner�s mailing address on the Petition for Resolution of Reimbursement Dispute Form, a copy of the Carrier Response to Petition for Resolution of Reimbursement Dispute Form, and one copy set of all accompanying information served upon the Agency in response to the petition.

(3) Documents and records accompanying the carrier�s Response to Petition for Resolution of Reimbursement Dispute Form must be in hard copy.

Specific Authority 440.13(7)(e), 440.591 FS. Law Implemented 440.13(7)(b) FS. History: New 11-28-06.