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Forms and Resources
PIP Tips
PIP Forms & Links
Thursday, 15 January 2009
This four page quick reference is a combination of answers from previous FAQ articles and additional questions received on a daily basis from FCA members. We encourage you to use this convenient resource to help as you approach the many unknowns that result from a statute that has not yet been fully interpreted by the courts. 
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PIP Fact Sheet
PIP Forms & Links
Thursday, 15 January 2009
Here is our PIP Fact Sheet with helpful information, including links to both the Medicare and Workers' Compensation fee schedules.
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PIP Patient Treatment Log
PIP Forms & Links
Friday, 10 October 2008

The Florida PIP Statute requires that you keep a patient log.  Here is a sample patient treatment log that you can download.

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Notice of Initiation of PIP Treatment
PIP Forms & Links
Thursday, 09 October 2008

If you want to extend the time within which to submit a claim to 75 days, you must notify the PIP insurer.  Following is a sample from Paul Lambert, FCA General Counsel.

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OIR-B1-1809 Health Care Provider Certification of Eligibility
PIP Forms & Links
Tuesday, 03 June 2008

Physician owned practices, hospital owned facilities and licensed clinics filing PIP claims are required as of March 13, 2008 to complete a notarized form entitled “Health Care Provider Certification of Eligibility for PIP Benefits.”  While we have mentioned this form in past reporting, it appears that many providers may not be aware of it.  Read on to learn where to find the form and how to complete it correctly.

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