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Workers’ Compensation Data Fields 25 Permanent Partial Disability / Maximum Medical Improvement Check appropriate boxes (Medical Management screen>Maximum Medical Improvement) Denial Check “Denial” box (Detail screen>Disputed Case/Controverted) then enter the following information. Once completed, this will trigger an automatic 4110 diary. 1. “Type” from drop down 2. “Effective” date from calendar Confidential, Proprietary and Trade Secret Document of NARS and protected by the Florida Uniform Trade Secrets Act, chapter 688, Florida Statutes. No use allowed unless specifically authorized.

Y(Our) Workers' Compensation Guidebook - The NARS Way - Page 68 Y(Our) Workers' Compensation Guidebook - The NARS Way Page 67 Page 69