View Other Articles

Provider Protection

Last update
September 19, 2025

The Florida Division of Workers’ Compensation (DWC) holds payers accountable for repeated or unreasonable denials or reductions of medical bill payments without valid cause.

To enforce accountability, the DWC may:

  • Order Full Payment: The DWC can compel the payer to pay the provider's bill in full.
  • Impose Fines: A fine of up to $5,000 can be levied for each instance of improper denial or reduction.
  • Award Costs and Fees: The state may award the healthcare provider costs, including reasonable attorney's fees, for pursuing the petition.

Florida

Statute/Rule

Statute

Florida Statutes, Chapter 440, Workers’ Compensation 

Section

440.13 Medical Services and Supplies; Penalty for Violations; Limitations

Subsection Text

440.20 (7) (f) Any carrier that engages in a pattern or practice of arbitrarily or unreasonably disallowing or reducing payments to health care providers may be subject to one or more of the following penalties imposed by the department:

1. Repayment of the appropriate amount to the health care provider.

2. An administrative fine assessed by the department in an amount not to exceed $5,000 per instance of improperly disallowing or reducing payments.

3. Award of the health care provider’s costs, including a reasonable attorney fee, for prosecuting the petition.

daisyBill Solution

daisyBill analytics track how many days each claims administrator takes to pay your bills for injured workers’ treatment.

REQUEST DEMO

How did you like the article ?
Hands down the best way to quickly determine up-to-date reimbursements and past dates of service.
Start Free Trial