Florida workers’ comp case management billing —
§440.491 and the DWC-9.
Fla. Stat. §440.491 runs reemployment services through the state, with carriers funding assessments by qualified rehabilitation providers. The bill goes on a DWC-9 — Florida’s own CMS-1500 variant — to the carrier or the TPA.
The facts, before the pitch.
How billing works in Florida
- Who you bill
- The carrier or TPA.
- What you send
- DWC-9 (a CMS-1500 variant).
- The channel
- Direct.
- Fee basis
- No published rate we have verified. Ask the Florida Division of Workers' Compensation before anyone quotes you one — including us.
- The clock
- Not a deadline we have verified for Florida. Ask the Florida Division of Workers' Compensation, and read the payer’s own contract, before you rely on a date.
The system. State reemployment services under §440.491; carriers fund assessments by qualified rehabilitation providers.
Where the rules are written. Fla. Stat. §440.491.
The paperwork with its own name. DWC-9.
Nurse case managers in Florida are supported today. Invoice-based case-management billing needs no state-specific setup — it works here now. Private vocational rehabilitation in Florida is a different story, told plainly further down, and there is a Florida voc-rehab list you can join.
Your week, in Florida’s documents.
A state-run reemployment system with carrier-funded assessments around the edges, and a form of its own.
- 7:55 a.m.Two telephonic updates and an adjuster call.Entered as they end, with the claim number and referral source attached.
- 11:00 a.m.Appointment attended, then 46 miles to the next one.Mileage and wait time itemized as they happen rather than estimated on Friday.
- 2:10 p.m.Assessment write-up for a carrier-funded referral.Written once and reused in the report and the bill.
- 4:45 p.m.DWC-9 assembled for the payer that wants one, invoice for the payer that does not.Both become receivables the moment they leave.
Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, a CMS-1500 fills with the right units and the right payer block where a payer wants one — and where your state bills on its own form or an invoice, the dated, timed, priced lines that go on it come off the grid, and the receivable is tracked from the moment the bill leaves. The whole chain →
The state runs reemployment services. Carriers fund the assessments.
§440.491 puts reemployment services in the state’s hands, with carriers paying for assessments by qualified rehabilitation providers. That is a narrower private market than Ohio’s or Georgia’s, and describing it as anything else would be a lie you would catch us in within a week.
The steady, billable, every-week work in Florida is nurse case management — and the DWC-9, Florida’s CMS-1500 variant, is a form the software can fill from the same entries that produce an invoice.
Who pays you in Florida.
Private carriers and TPAs, with the state administering reemployment services behind them. The DWC-9 is Florida’s own variant of the CMS-1500 and some payers insist on it.
Florida payers
- Private carriers
- TPAs
National carriers you will meet
- Travelers
- The Hartford
- AmTrust
- Zurich
- Chubb
- Berkshire Hathaway
- Liberty Mutual
- AF Group / Accident Fund
- Old Republic
- Great American
TPAs that send the referrals
- Sedgwick
- Gallagher Bassett
- ESIS
- Helmsman
- Broadspire
- CorVel
- TRISTAR
- CCMSI
- Athens Administrators
One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.
Billing addresses and submission preferences go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Florida payers and their submission preferences get set up during onboarding, from your own files.
Case files, adjusters, mileage, receivables.
Nurse case management billing works in Florida today with no state-specific setup: the activity grid, the invoice or the DWC-9 depending on the payer, and aging that tells you which TPA is slow.
The activity grid
Field visit, telephonic call, wait time at the appointment, the miles there and back — logged once, with the claim number, the adjuster and the referral source attached as you type.
The log behind the bill
A weekly narrative log per case file, dated and grouped, reproducing your own Word template — and where a payer wants a CMS-1500 the software fills one. It does not write an invoice document today: the dated, timed, priced lines that go on yours come off the grid.
Aging by payer
Every carrier and TPA you invoice, each with billed, paid and still-owed, and an aging list that names who is sitting on your money.
It is the same week an Ohio vocational rehabilitation case manager works, in different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. Thirty-odd billable touches a day either way, and the same four documents behind every one of them. The nurse case manager page has the whole workflow.
Where the rules actually live.
Ask the Florida Division of Workers' Compensation for
- the current text of Fla. Stat. §440.491
- blank copies of DWC-9
We have not published a verified link set for Florida yet, and we would rather send you nowhere than somewhere out of date. If you have the current documents, send them over — admin@onservice.us.
How we keep this page honest
Every fact above is transcribed from the Florida Division of Workers' Compensation or the statute named, dated July 2026, and reviewed when the agency republishes. Where we have not verified something we say so rather than filling the gap.
Found something out of date? Tell us and we will fix it the same week: (302) 202-3172 or admin@onservice.us.
See a Florida case-management caseload run itself.
Fifteen minutes, a case-management caseload on screen, and an honest answer about what Florida voc rehab would need. Or join the Florida voc-rehab list and we will write to you when there is something real to show.
There is a phone number and a person answers it: (302) 202-3172.
States that work like Florida
Questions, answered.
What is a DWC-9?
Florida’s variant of the CMS-1500. The software fills it from the same entries that produce an invoice, and payer-specific details are configured during onboarding from your own filed copies.
Is there a private voc-rehab billing market in Florida?
A narrow one: carriers fund assessments by qualified rehabilitation providers under §440.491, while reemployment services themselves run through the state. Nurse case management is the market with weekly volume.
Where is the qualified rehabilitation provider roster?
Ask the Division. We have not confirmed where it is published and will not point you at something we cannot verify.
Do you handle mileage across a big territory?
Yes — mileage and wait time are their own lines with their own rates, entered as they happen.
What happens if I cancel?
Read-only, never deletion. Everything stays readable and exportable in your own formats.
See your own week run itself.
We load your state’s codes before the call, so you are looking at a caseload like yours inside the first two minutes — not a slide deck.