• Post category:Volume 22

EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., (A/A/O LEILANI BOONE), Plaintiff, vs. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 936a

Online Reference: FLWSUPP 2208BOONInsurance -- Venue -- Venue in action commenced under small claims rules is proper under those rules in county where payment is due -- Where insurer has not established substantial inconvenience and legal issues are pending in case, motion to transfer venue is denied without prejudice to reasserting motion if factual issues remain after legal issues are resolved

Continue ReadingEMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., (A/A/O LEILANI BOONE), Plaintiff, vs. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS, Inc. d/b/a EMERGENCY RESOURCES GROUP, as assignee of Taylor Downing, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 827a

Online Reference: FLWSUPP 2207DOWNInsurance -- Venue -- Insurer waived right to object to venue by failing to appear at pre-trial conference and challenge venue or submit affidavit at least seven days prior to pre-trial conference -- Venue is proper in county where money is due -- Motion to dismiss denied -- Motion for transfer for convenience of parties or witnesses is denied, as insurer has failed to establish substantial inconvenience

Continue ReadingEMERGENCY PHYSICIANS, Inc. d/b/a EMERGENCY RESOURCES GROUP, as assignee of Taylor Downing, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VINCENT CONTESTABILE, Plaintiff, v. ATTORNEYS’ TITLE INSURANCE FUND, INC., a Florida corporation, Defendant.

22 Fla. L. Weekly Supp. 1025a

Online Reference: FLWSUPP 2209CONTInsurance -- Title -- Action by property owner against title insurer for compensation for easement given to county in exchange for action curing undisclosed title defect and diminution in property value during 2½ year process of curing defect -- Damages -- Plaintiff is entitled to compensation from insurer for having to provide easement as condition of county vacating recorded plat not disclosed in title policy -- Coverage -- Summary judgment on issue of coverage is entered in favor of plaintiff where insurer has admitted in pleadings and elsewhere that title claim is covered under policy -- Recently raised defense that plat was in fact extinguished under Marketable Record Title Act and did not encumber title cannot be used by insurer to avoid coverage where insurer did not pursue judicial action or get court order under MRTA determining that plat was not title defect, and defect has been cured by non-judicial action implemented by insurer -- Further, insurer cannot deny coverage where it opted to resolve claim by petitioning county to vacate plat and demanded that plaintiff cooperate with plat vacation process, and plaintiff was prejudiced as result of insurer's handling of claim -- Under title policy, plaintiff's actual loss and damages due to undisclosed plat is limited to diminution in market value of property and amount necessary to remove encumbrance -- Upon showing that insurer failed to act diligently in curing title defect, failure constitutes separate breach of policy for which plaintiff's damages would not be limited to actual loss caused by encumbrance but to actual loss caused by delay in cure, up to policy limits

Continue ReadingVINCENT CONTESTABILE, Plaintiff, v. ATTORNEYS’ TITLE INSURANCE FUND, INC., a Florida corporation, Defendant.
  • Post category:Volume 22

NORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., as assignee of DESTINY LAWSON, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 707a

Online Reference: FLWSUPP 2206LAWSInsurance -- Small claims -- Motion to invoke Rules of Civil Procedure in small claims action is denied -- Insurer's motion for leave to file amended answer and additional affirmative defenses is granted

Continue ReadingNORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., as assignee of DESTINY LAWSON, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

UNITED WATER RESTORATION GROUP, INC. A/A/O DONALD KNIGHT, Plaintiff, vs. HOMEOWNERS CHOICE PROPERTY & CASUALTY INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 109a

Online Reference: FLWSUPP 2201KNIGInsurance -- Property -- Standing -- Contractor that was assigned prospective insurance recovery of undetermined amount lacks standing to bring action against insurer

Continue ReadingUNITED WATER RESTORATION GROUP, INC. A/A/O DONALD KNIGHT, Plaintiff, vs. HOMEOWNERS CHOICE PROPERTY & CASUALTY INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

EMERGENCY SERVICES 24, INC., A/A/O THERESA DEVLIN, Plaintiff, v. FLORIDA PENINSULA INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 108a

Online Reference: FLWSUPP 2201DEVLInsurance -- Property -- Standing -- Action by contractor that was assigned prospective insurance recovery of undetermined amount is dismissed

Continue ReadingEMERGENCY SERVICES 24, INC., A/A/O THERESA DEVLIN, Plaintiff, v. FLORIDA PENINSULA INSURANCE COMPANY, Defendant
  • Post category:Volume 22

EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Maximilian Galindo, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant

22 Fla. L. Weekly Supp. 1073a

Online Reference: FLWSUPP 2209EMERInsurance -- Venue -- Under small claims rules applicable at time suit was filed, venue is proper in county where payment is to be made -- Court is not barred by hearsay rule from considering claim form as evidence of where payment is to be made -- Insurer has not established substantial inconvenience or undue expense warranting transfer of venue

Continue ReadingEMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Maximilian Galindo, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant
  • Post category:Volume 22

EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Monica Barrios, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1069

aOnline Reference: FLWSUPP 2209BARRInsurance -- Personal injury protection -- Venue -- Under small claims rules applicable at time action was filed, venue was proper in county where payment was due -- Insurer has not established substantial inconvenience warranting transfer of venue

Continue ReadingEMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Monica Barrios, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Plaintiff, v. POLK COUNTY SCHOOL BOARD, Defendant

22 Fla. L. Weekly Supp. 124a

Online Reference: FLWSUPP 2201STATInsurance -- Personal injury protection -- Reimbursement -- Schools -- Sovereign immunity -- Final judgment is rendered in favor of school board in action by PIP carrier against board for reimbursement of PIP benefits paid for injuries incurred while insured was occupant of school bus -- Section 627.7405 does not waive school board's sovereign immunity

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Plaintiff, v. POLK COUNTY SCHOOL BOARD, Defendant
  • Post category:Volume 22

SOUTH FLORIDA IMAGING & DIAGNOSTIC CENTER, INC. (ASSIGNEE OF JECROIS, JEAN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 282a

Online Reference: FLWSUPP 2202JECRInsurance -- Personal injury protection -- Notice of loss -- Claim form marked to indicate that MRI service was not related to automobile accident did not provide notice of covered loss -- Insurer's motion for summary judgment is granted

Continue ReadingSOUTH FLORIDA IMAGING & DIAGNOSTIC CENTER, INC. (ASSIGNEE OF JECROIS, JEAN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

INJURY CENTERS OF ST. PETE, INC., a/a/o RICHARD HORNE, Plaintiff, v. MGA INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 966a

Online Reference: FLWSUPP 2208HORNInsurance -- Personal injury protection -- Venue -- Forum non conveniens -- Where all aspects of PIP case occurred in, and all witnesses except medical provider's director of billing are located in Pinellas County, and only link to Broward County is location of provider's attorney, motion to transfer venue from Broward County to Pinellas County is granted

Continue ReadingINJURY CENTERS OF ST. PETE, INC., a/a/o RICHARD HORNE, Plaintiff, v. MGA INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

MR SERVICES I, INC. d/b/a C & R IMAGING OF HOLLYWOOD (a/a/o Juliene Dettman), Plaintiff, vs. STATE FARM INSURANCE AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 153a

Online Reference: FLWSUPP 2201DETTInsurance -- Personal injury protection -- Trial -- Bifurcation of non-intertwined issues of whether MRI was medically necessary and related to accident and whether charge was reasonable

Continue ReadingMR SERVICES I, INC. d/b/a C & R IMAGING OF HOLLYWOOD (a/a/o Juliene Dettman), Plaintiff, vs. STATE FARM INSURANCE AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FORT MYERS CHIROPRACTIC CENTER, INC. (A/A/O AUDAIN BATAILLE), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 136a

Online Reference: FLWSUPP 2201BATAInsurance -- Personal injury protection -- Dismissal -- Where medical provider failed to comply with order to obtain replacement counsel within 30 days of withdrawal of its former counsel, insurer's motion to dismiss complaint for lack of representation is granted

Continue ReadingFORT MYERS CHIROPRACTIC CENTER, INC. (A/A/O AUDAIN BATAILLE), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MARGATE PHYSICIANS ASSOCIATES, INC., a/a/o Adi Cruz, Appellant, v. UNITED AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 681a

Online Reference: FLWSUPP 2206CRUZInsurance -- Personal injury protection -- Independent medical examination -- Failure to attend -- Error to enter summary judgment in favor of insurer based on IME no-show defense where there is disputed evidence as to whether insured received and was able to understand IME notices

Continue ReadingMARGATE PHYSICIANS ASSOCIATES, INC., a/a/o Adi Cruz, Appellant, v. UNITED AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Appellant, vs. COUNTY LINE CHIROPRACTIC CENTER, a/a/o DONNA LEE SPIKE-HOUSEN, Appellee.

22 Fla. L. Weekly Supp. 324a

Online Reference: FLWSUPP 2203SPIKInsurance -- Personal injury protection -- Expert witnesses -- Striking -- Abuse of discretion to strike insurer's expert witness for failure to comply with subpoena duces tecum for voluminous medical records of non-parties and expert's financial documents that was served two days prior to trial -- Further, non-parties' medical records were not subject to production absent provision of statutorily required notice to non-parties -- New trial required

Continue ReadingUNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Appellant, vs. COUNTY LINE CHIROPRACTIC CENTER, a/a/o DONNA LEE SPIKE-HOUSEN, Appellee.
  • Post category:Volume 22

FLORIDA HOSPITAL MEDICAL CENTER, as assignee of Farah Ignace-Jean, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 733a

Online Reference: FLWSUPP 2206FLORInsurance -- Personal injury protection -- Discovery -- Depositions -- Where insurer utilized permissive statutory fee schedule to calculate reimbursement rate although policy is devoid of any provision electing to use fee schedule to calculate reimbursement rate, insurer unilaterally determined “reasonableness” and deposition of medical provider on issue of reasonableness is not relevant or necessary -- Protective order is granted

Continue ReadingFLORIDA HOSPITAL MEDICAL CENTER, as assignee of Farah Ignace-Jean, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

JOHN ORTOLANI M.D. a/a/o TRACY KING, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 608a

Online Reference: FLWSUPP 2205KINGInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reasonableness of charges at deposition of insurer's corporate representative

Continue ReadingJOHN ORTOLANI M.D. a/a/o TRACY KING, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

JEREMY GORDON, D.C. a/a/o Christine M. Reedy, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 607a

Online Reference: FLWSUPP 2205CREEInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reasonableness of medical provider's charge in deposition of insurer's corporate representative

Continue ReadingJEREMY GORDON, D.C. a/a/o Christine M. Reedy, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ST. JOHNS MEDICAL CENTER A/A/O MELISSA BROWN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 457a

Online Reference: FLWSUPP 2204MBROInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- By attaching itemized statement to demand letter, medical provider satisfied legislative intent of section 627.736(10)

Continue ReadingST. JOHNS MEDICAL CENTER A/A/O MELISSA BROWN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MOORE CHIROPRACTIC CENTER, INC., AS ASSIGNEE FOR PAYTON BRULE, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 266a

Online Reference: FLWSUPP 2202BRULInsurance -- Personal injury protection -- Demand letter -- Statute requires that demand letter state exact amount of each charge, not exact amount owed by insurer

Continue ReadingMOORE CHIROPRACTIC CENTER, INC., AS ASSIGNEE FOR PAYTON BRULE, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RIVER CITY MEDICAL ASSOCIATES, INC. d/b/a ABSOLUTE MEDICAL CLINIC, a/a/o HOLLY CONNELL, Plaintiff, vs. PEAK PROPERTY & CASUALTY INSURANCE CORPORATION, Defendant.

22 Fla. L. Weekly Supp. 825a

Online Reference: FLWSUPP 2207CONNInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter include bills already reduced to Medicare fee schedule -- Compliance with demand letter requirement is question of law, not jury question -- Accordingly, there is not merit to insurer's contention that plaintiff's suit must fail if a jury ultimately issues a verdict in the provider's favor for an amount other than the exact amount specified in demand letter

Continue ReadingRIVER CITY MEDICAL ASSOCIATES, INC. d/b/a ABSOLUTE MEDICAL CLINIC, a/a/o HOLLY CONNELL, Plaintiff, vs. PEAK PROPERTY & CASUALTY INSURANCE CORPORATION, Defendant.
  • Post category:Volume 22

BAYFRONT MEDICAL CENTER, INC., a/a/o Ramsay Macleish, Appellant, v. USAA CASUALTY INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 20a

Online Reference: FLWSUPP 2201MACLInsurance -- Personal injury protection -- Demand letter -- Motion for rehearing of opinion concluding that trial court erred in finding that demand letter with itemized billing ledger did not meet statutory requirements for demand letter is denied

Continue ReadingBAYFRONT MEDICAL CENTER, INC., a/a/o Ramsay Macleish, Appellant, v. USAA CASUALTY INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

HOLLYWOOD INJURY REHABILITATION CENTER, INC., (ALYSHA MAITLAND), Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 747a

Online Reference: FLWSUPP 2206MAITInsurance -- Personal injury protection -- Delay in payment -- Request for information or documentation -- Where medical provider made no response to insurer's pre-suit request for information and documentation relating to treatment of insured, claim was not overdue at time demand letter was issued, and suit is premature

Continue ReadingHOLLYWOOD INJURY REHABILITATION CENTER, INC., (ALYSHA MAITLAND), Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

CHRISTOPHER LOWE HICKLIN, D.C., P.L., as assignee of, STEPHEN THORESEN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 952a

Online Reference: FLWSUPP 2208THORInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Medical provider complied with requirements of section 627.736(10) y attaching itemized statement to demand letter -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- Insurer waived issue of defective demand letter by failing to raise issue before suit was filed

Continue ReadingCHRISTOPHER LOWE HICKLIN, D.C., P.L., as assignee of, STEPHEN THORESEN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

L.P. MEDICAL, INC. a/a/o REGLA ARENAS, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 463a

Online Reference: FLWSUPP 2204ARENInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- Insurer waived issue of defective demand letter by failing to raise issue before suit was filed -- Mathematical errors or inconsistencies do not void otherwise compliant demand letter

Continue ReadingL.P. MEDICAL, INC. a/a/o REGLA ARENAS, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

RUTH BECK, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 454b

Online Reference: FLWSUPP 2204BECKInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Provider complied with requirements of section 627.736(10) by attaching itemized statement to demand letter -- Insurer waived any deficiencies in demand letter by failing to object to letter prior to filing of suit

Continue ReadingRUTH BECK, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MOORE CHIROPRACTIC CENTER INC. A/A/O ROBBIE BORZ, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 361a

Online Reference: FLWSUPP 2203BORZInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Medical provider complied with requirements of section 627.736(10) by attaching itemized statement to demand letter -- Insurer waived any deficiencies in demand letter by failing to object to letter before suit was filed

Continue ReadingMOORE CHIROPRACTIC CENTER INC. A/A/O ROBBIE BORZ, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PHYSICIANS MEDICAL CENTERS JAX, INC. A/A/O MELANIE WRENN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 359a

Online Reference: FLWSUPP 2203WRENInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Insurer waived any deficiencies in demand letter by failing to object to letter prior to filing of suit -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- By attaching itemized statement to demand letter, medical provider complied with requirements of section 627.736(10)

Continue ReadingPHYSICIANS MEDICAL CENTERS JAX, INC. A/A/O MELANIE WRENN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ADVANCED MRI DIAGNOSTIC A/A/O RICARDO AVENDANO, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 357a

Online Reference: FLWSUPP 2203AVENInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- By attaching itemized statement to demand letter, medical provider complied with requirements of section 627.736(10) -- Compliant demand letter is not rendered non-compliant by provision of additional information that is mathematically inconsistent with itemized statement -- Insurer waived any deficiencies in demand letter by failing to object to letter prior to filing of suit

Continue ReadingADVANCED MRI DIAGNOSTIC A/A/O RICARDO AVENDANO, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NORTH FLORIDA CHIRO. & REHAB. CENTER A/A/O KENNETH BROWN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 266b

Online Reference: FLWSUPP 2202BROWInsurance -- Personal injury protection -- Demand letter -- Medical provider that attached itemized statement to demand letter satisfied condition precedent to filing suit -- No merit to argument that provider was required to account for all prior payments made and calculate exact amount owed -- Insurer that failed to take issue with demand letter with any specificity prior to litigation waived defense of defective demand letter

Continue ReadingNORTH FLORIDA CHIRO. & REHAB. CENTER A/A/O KENNETH BROWN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MOORE CHIROPRACTIC CENTER INC. A/A/O ANDREW BEAL, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 265b

Online Reference: FLWSUPP 2202BEALInsurance -- Personal injury protection -- Demand letter that provided all information needed by insurer to adjust claim was not deficient -- No merit to insurer's objection that it should be able to determine exact amount due from demand letter -- Insurer waived defense of defective demand letter by failing to raise any valid objection to letter prior to litigation

Continue ReadingMOORE CHIROPRACTIC CENTER INC. A/A/O ANDREW BEAL, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

A&B THERAPY CENTER, INC. a/a/o GONZALEZ, DAVID, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 465a

Online Reference: FLWSUPP 2204DGONInsurance -- Personal injury protection -- Demand letter -- Where insurer sought summary judgment concerning defective demand letter that requested payment for services not rendered, and medical provider did not seek abatement of proceedings to correct demand letter until five months later on date of summary judgment hearing, granting motion for abatement would violate due process -- Motion for summary judgment is granted

Continue ReadingA&B THERAPY CENTER, INC. a/a/o GONZALEZ, DAVID, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

MRI ASSOCIATES OF PALM HARBOR, INC., d/b/a PALM HARBOR MRI a/a/o BENJAMIN STURGIS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 932a

Online Reference: FLWSUPP 2208STURInsurance -- Personal injury protection -- When medical provider filed two notices of voluntary dismissal without prejudice, whether based on mistaken belief that case had been included in global settlement or otherwise, court was divested of jurisdiction and cannot grant motion to set aside order of dismissal

Continue ReadingMRI ASSOCIATES OF PALM HARBOR, INC., d/b/a PALM HARBOR MRI a/a/o BENJAMIN STURGIS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O LUCIEN IRACE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, (“STATE FARM”), Defendant.

22 Fla. L. Weekly Supp. 455a

Online Reference: FLWSUPP 2204IRACInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Demand letter that included all information needed to evaluate claim was not rendered insufficient by failure to attach reverse side of assignment that contained signatures -- Substantial compliance, not strict compliance, is proper standard for evaluating sufficiency of demand letter

Continue ReadingNEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O LUCIEN IRACE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, (“STATE FARM”), Defendant.
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O ALLISON MCCOTTRY, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, (“STATE FARM”), Defendant.

22 Fla. L. Weekly Supp. 707b

Online Reference: FLWSUPP 2206MCCOInsurance -- Personal injury protection -- Demand letter -- Failure to attach reverse side of assignment form that contained only assignor's signature did not invalidate otherwise compliant demand letter

Continue ReadingNEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O ALLISON MCCOTTRY, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, (“STATE FARM”), Defendant.
  • Post category:Volume 22

MCNAMARA CHIROPRACTIC CENTER P A (PATIENT NICHOLE WOJENSKI), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 849a

Online Reference: FLWSUPP 2207WOJEInsurance -- Personal injury protection -- Demand letter that failed to delineate CPT codes at issue, alleged billed amounts and dates of services that were incorrect and differed from entries on attached patient ledger, and failed to accurately account for payments by insurer does not satisfy condition precedent to PIP suit

Continue ReadingMCNAMARA CHIROPRACTIC CENTER P A (PATIENT NICHOLE WOJENSKI), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

LAKE WORTH EMERGENCY CHIROPRACTIC CENTER, P.A., (a/a/o Ryan Garter), Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee

22 Fla. L. Weekly Supp. 65a

Online Reference: FLWSUPP 2111GARTInsurance -- Personal injury protection -- Demand letter -- Demand letter that included amount which was not yet overdue did not strictly comply with PIP statute and failed to satisfy condition precedent to filing suit

Continue ReadingLAKE WORTH EMERGENCY CHIROPRACTIC CENTER, P.A., (a/a/o Ryan Garter), Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee
  • Post category:Volume 22

BAYVIEW MEDICAL & REHAB CENTER, INC., A Florida Corporation (assignee of Soto, Zoraida), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1094a

Online Reference: FLWSUPP 2209SOTOInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- Where demand letter and complaint state different amounts due, demand letter fails to satisfy statutory condition precedent to suit -- Motion to dismiss is granted

Continue ReadingBAYVIEW MEDICAL & REHAB CENTER, INC., A Florida Corporation (assignee of Soto, Zoraida), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O SCOTT BRAY, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 101b

Online Reference: FLWSUPP 2201BRAYInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter account for prior payments made by insurer or attempt to state exact amount owed by insurer -- By attaching itemized statement to demand letter, medical provider complied with requirements of section 627.736(10) -- Compliant demand letter is not rendered non-compliant by provision of additional information that is mathematically inconsistent with itemized statement -- Insurer waived any deficiencies in demand letter by failing to object to letter prior to filing of suit

Continue ReadingNEUROLOGY PARTNERS, P.A. D/B/A EMAS SPINE & BRAIN A/A/O SCOTT BRAY, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MCGOWAN SPINAL REHAB CENTER A/A/O JAYNELL CAMERON, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 708a

Online Reference: FLWSUPP 2206CAMEInsurance -- Personal injury protection -- Demand letter -- Sufficiency -- PIP statute does not require that demand letter calculate exact amount owed by insurer -- By attaching itemized statement to demand letter, medical provider satisfied requirements of section 627.736(10) -- Mathematical errors or inconsistencies relating to prior payments made by insurer does not void otherwise compliant demand letter

Continue ReadingMCGOWAN SPINAL REHAB CENTER A/A/O JAYNELL CAMERON, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RICHARD W. MERRITT, D.C., P.A., a/a/o EILEEN MENDENHALL, Plaintiff, vs. AUTO CLUB SOUTH INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 734b

Online Reference: FLWSUPP 2206MERRInsurance -- Personal injury protection -- Demand letter -- Defects -- Abatement -- Motion to abate PIP action to afford medical provider opportunity to cure defective demand letter is denied

Continue ReadingRICHARD W. MERRITT, D.C., P.A., a/a/o EILEEN MENDENHALL, Plaintiff, vs. AUTO CLUB SOUTH INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

LUVENIA TATUM, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.

22 Fla. L. Weekly Supp. 705a

Online Reference: FLWSUPP 2206TATUInsurance -- Personal injury protection -- Demand letter -- Waiver -- Upon determining that insured did not send demand letter to person or address specified by insurer for receipt of demand letters, court reconsiders and reverses finding that insurer waived demand letter defense by failing to respond to demand letter -- Abatement -- PIP case is abated to allow insured to issue valid demand letter -- If insurer pays amount demanded, insured shall file voluntary dismissal and will not be entitled to attorney's fees and costs

Continue ReadingLUVENIA TATUM, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.
  • Post category:Volume 22

SW FLORIDA REGIONAL MEDICAL CENTER INC., a/a/o AMARILYS CHAVEZ, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.

22 Fla. L. Weekly Supp. 130a

Online Reference: FLWSUPP 2201CHAVInsurance -- Personal injury protection -- Demand letter -- PIP action is abated to allow service of compliant demand letter and response to letter

Continue ReadingSW FLORIDA REGIONAL MEDICAL CENTER INC., a/a/o AMARILYS CHAVEZ, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.
  • Post category:Volume 22

TAMUS BAIREN, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 105a

Online Reference: FLWSUPP 2201BAIRInsurance -- Personal injury protection -- Complaint -- Amendment -- Demand letter -- Insured is not required to submit additional demand letter prior to moving to amend complaint to include billing for additional dates of service denied by insurer

Continue ReadingTAMUS BAIREN, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- COLLIER BOULEVARD, a Florida Corporation (assignee of Triguero, Arai), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 860a

Online Reference: FLWSUPP 2207TRIGInsurance -- Personal injury protection -- Deductible -- Proper formula for payment of PIP claim requires that deductible be subtracted from total billing amount before statutory reductions are applied

Continue ReadingNAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- COLLIER BOULEVARD, a Florida Corporation (assignee of Triguero, Arai), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A. a/a/o RAUL BLANCO, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1111d

Online Reference: FLWSUPP 2209BLANInsurance -- Personal injury protection -- Coverage -- Owner of vehicle for which security was required by law -- Inoperable vehicle -- Where documents demonstrate that claimant who was injured while passenger in vehicle owned by his father-in-law owned a registered and insured vehicle at time of accident, claimant's vehicle required some repair work but was never in storage and was driveable, and claimant intended to repair and maintain vehicle for use, claimant's vehicle was not inoperable -- Summary judgment is entered in favor of insurer

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A. a/a/o RAUL BLANCO, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS, INC. d/b/a EMERGENCY RESOURCES GROUP, as Assignee of Deshawn Brooks, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 1104a

Online Reference: FLWSUPP 2209BROOInsurance -- Personal injury protection -- Venue -- For purposes of application of venue statute, reciprocal insurer resides in county where its attorney in fact has office -- No merit to argument that reciprocal insurer may be sued in every county where a subscribing member insurer resides

Continue ReadingEMERGENCY PHYSICIANS, INC. d/b/a EMERGENCY RESOURCES GROUP, as Assignee of Deshawn Brooks, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS, INC. d/b/a EMERGENCY RESOURCES GROUP, as Assignee of Tanya Campbell, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 1103b

Online Reference: FLWSUPP 2209CAMPInsurance -- Personal injury protection -- Venue -- For purposes of application of venue statute, reciprocal insurer resides in county where its attorney in fact has office -- No merit to argument that reciprocal insurer may be sued in every county where a subscribing member insurer resides

Continue ReadingEMERGENCY PHYSICIANS, INC. d/b/a EMERGENCY RESOURCES GROUP, as Assignee of Tanya Campbell, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

DOUGLAS DIAGNOSTIC CENTER, INC., (Maria Elena Lopez), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 853a

Online Reference: FLWSUPP 2207LOPEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Timeliness of claim -- Insurer may not challenge timeliness of claim for which it has already paid PIP benefits

Continue ReadingDOUGLAS DIAGNOSTIC CENTER, INC., (Maria Elena Lopez), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

UNITED AUTOMOBILE INSURANCE COMPANY, Petitioner, vs. HIALEAH MEDICAL ASSOCIATES, INC., a/a/o Demetrius Brown, Respondent.

22 Fla. L. Weekly Supp. 187b

Online Reference: FLWSUPP 2202DBROInsurance -- Coverage -- Trial court violated insurer's due process rights by granting medical provider's motion for summary judgment, without conducting hearing, one day after provider filed supplemental motion for summary judgment containing newly filed affidavits

Continue ReadingUNITED AUTOMOBILE INSURANCE COMPANY, Petitioner, vs. HIALEAH MEDICAL ASSOCIATES, INC., a/a/o Demetrius Brown, Respondent.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellant, v. ST. JUDE REHABILITATION CENTER, INC. A/A/O LEDESMY SUAREZ, Appellee.

22 Fla. L. Weekly Supp. 52c

Online Reference: FLWSUPP 2201SUARInsurance -- Coverage -- Summary judgment -- Where affidavit filed in opposition to summary judgment and peer review and medical records referenced therein were all clearly listed exhibits to insurer's summary judgment response, trial court's rejection of affidavit for failing to attach documents affiant relied upon was overly technical -- Summary judgment was improperly granted where documents collectively establish genuine disputed issue of material fact

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellant, v. ST. JUDE REHABILITATION CENTER, INC. A/A/O LEDESMY SUAREZ, Appellee.
  • Post category:Volume 22

MEDICAL THERAPIES, LLC, f/k/a MEDICAL THERAPIES, INC., d/b/a ORLANDO PAIN CLINIC, as assignee of SONJA M. RICKS, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 34a

Online Reference: FLWSUPP 2201RICKInsurance -- Personal injury protection -- Demand letter -- Summary judgment -- No abuse of discretion in denying motion to continue summary judgment hearing due to unavailability of medical provider's counsel and need for discovery where counsel was only unavailable for 46 days in 6-month period between filing of motion for summary judgment and hearing on motion, and there had been ample time for discovery -- No abuse of discretion in denying motion to abate action to allow opportunity to submit another demand letter in lieu of letters alleged to be insufficient where sufficient demand letter is condition precedent that cannot be remedied post-suit -- Trial court did not err in finding that demand letters that sought payment for amounts previously paid by insurer and amounts not yet overdue did not strictly comply with PIP statute

Continue ReadingMEDICAL THERAPIES, LLC, f/k/a MEDICAL THERAPIES, INC., d/b/a ORLANDO PAIN CLINIC, as assignee of SONJA M. RICKS, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

CHAMBERS MEDICAL GROUP, INC., As assignee of SHEILA WILCOX, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, a foreign corporation, Defendant.

22 Fla. L. Weekly Supp. 743a

Online Reference: FLWSUPP 2206WILCInsurance -- Personal injury protection -- Deductible -- Proper formula for payment of PIP claim requires that deductible be subtracted from total billing amount before statutory fee schedule reductions are applied

Continue ReadingCHAMBERS MEDICAL GROUP, INC., As assignee of SHEILA WILCOX, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, a foreign corporation, Defendant.
  • Post category:Volume 22

AXCESS DIAGNOSTICS d/b/a BOWES IMAGING CENTER A/A/O CHRISTINA BEEHLER, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 953b

Online Reference: FLWSUPP 2208BEEHInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Where PIP policy provides that insurer will pay lowest of its definition of “reasonable medical expenses,” insurer is entitled to reimburse medical provider's charges under permissive statutory fee schedule

Continue ReadingAXCESS DIAGNOSTICS d/b/a BOWES IMAGING CENTER A/A/O CHRISTINA BEEHLER, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

INFINITY AUTOMOBILE INSURANCE COMPANY, Appellant-Defendant, v. SUNSHINE REHAB & MEDICAL, INC., a/a/o Osvaldo Borras, Appellee-Plaintiff.

22 Fla. L. Weekly Supp. 675a

Online Reference: FLWSUPP 2205INFIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Policy which provided that insurer would pay 80% of medical expenses and, on separate page, that it would pay 200% of Medicare Part B schedule was ambiguous and must be interpreted in favor of insured -- Trial court properly entered final summary judgment in favor of provider, but it is unclear whether amount awarded was properly calculated -- Remand for recalculation of damages reflecting endorsement provision providing greater coverage

Continue ReadingINFINITY AUTOMOBILE INSURANCE COMPANY, Appellant-Defendant, v. SUNSHINE REHAB & MEDICAL, INC., a/a/o Osvaldo Borras, Appellee-Plaintiff.
  • Post category:Volume 22

SYNERGY CHIROPRACTIC & WELLNESS CENTER, INC a/a/o Elodie Lindor, Plaintiff, vs. ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 750a

Online Reference: FLWSUPP 2206LINDInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will pay 80% of reasonable expenses but also providing that amount payable “shall be subject to any and all limitation” authorized by PIP statute does not provide clear and unambiguous notice of intent to limit reimbursement to Medicare Part B fee schedule

Continue ReadingSYNERGY CHIROPRACTIC & WELLNESS CENTER, INC a/a/o Elodie Lindor, Plaintiff, vs. ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Thomas Cunniff, Plaintiff, v. ALLSTATE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 724a

Online Reference: FLWSUPP 2206CUNNInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will pay 80% of reasonable expenses but also providing that amount payable “shall be subject to any and all limitations” authorized by PIP statute does not provide clear and unambiguous notice of intent to limit reimbursement to Medicare Part B fee schedule

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Thomas Cunniff, Plaintiff, v. ALLSTATE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Alanna Pukala, Plaintiff, v. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 719b

Online Reference: FLWSUPP 2206PUKAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will pay 80% of reasonable expenses but also providing that amount payable “shall be subject to any and all limitations” authorized by PIP statute does not provide clear and unambiguous notice of intent to limit reimbursement to Medicare Part B fee schedule

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Alanna Pukala, Plaintiff, v. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Joshue Garcia, Plaintiff, v. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 714a

Online Reference: FLWSUPP 2206JGARInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will pay 80% of reasonable expenses but also providing that amount payable “shall be subject to any and all limitations” authorized by PIP statute does not provide clear and unambiguous notice of intent to limit reimbursement to Medicare Part B fee schedule

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Joshue Garcia, Plaintiff, v. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MARKLEY CHIROPRACTIC & ACUPUNCTURE, LLC a/a/o Ilene Chavez, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 383a

Online Reference: FLWSUPP 2203CHAVInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Statutory schedules -- Affirmative election -- Policy at issue failed to provide required notice which would result in an enforceable election to apply statutory reimbursement limitations -- Question certified: Does a PIP policy that expressly states that “any amounts payable under this coverage shall be subject to any and all limitations authorized by Fla. Stat. §627.736, . . . including, but not limited to, all fee schedules,” clearly and unambiguously notify the insured of the methodology the insurer will apply in limiting reimbursement of PIP benefits?

Continue ReadingMARKLEY CHIROPRACTIC & ACUPUNCTURE, LLC a/a/o Ilene Chavez, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.
  • Post category:Volume 22

CORAL SPRINGS PHYSICIANS ASSOCIATES, INC. as assignee of Jonathan Cambeiro, Plaintiff, vs. MERCURY INDEMNITY COMPANY OF AMERICA, Defendant.

22 Fla. L. Weekly Supp. 284a

Online Reference: FLWSUPP 2202CAMBInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will either pay 80% of reasonable expenses or pay based on permissive statutory fee schedule does not provide clear and unambiguous notice of intent to limit reimbursement to statutory fee schedule

Continue ReadingCORAL SPRINGS PHYSICIANS ASSOCIATES, INC. as assignee of Jonathan Cambeiro, Plaintiff, vs. MERCURY INDEMNITY COMPANY OF AMERICA, Defendant.
  • Post category:Volume 22

K. MCFARLIN USRY D.C., P.A. a/a/o Octave Chancely, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 283a

Online Reference: FLWSUPP 2202CHANInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingK. MCFARLIN USRY D.C., P.A. a/a/o Octave Chancely, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.
  • Post category:Volume 22

DR. ANTHONY STANGANELLI, as assignee of Deangelo Green, Plaintiff, vs. ALLSTATE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 282b

Online Reference: FLWSUPP 2202GREEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingDR. ANTHONY STANGANELLI, as assignee of Deangelo Green, Plaintiff, vs. ALLSTATE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PALM BEACH PAIN INSTITUTE, INC., as assignee of Abraham Mantin, Plaintiff, vs. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 281a

Online Reference: FLWSUPP 2202MANTInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingPALM BEACH PAIN INSTITUTE, INC., as assignee of Abraham Mantin, Plaintiff, vs. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant
  • Post category:Volume 22

P.T.R. & W. SOUTH a/a/o Jeannette Lopez, Plaintiff, vs. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 274b

Online Reference: FLWSUPP 2202LOPEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingP.T.R. & W. SOUTH a/a/o Jeannette Lopez, Plaintiff, vs. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

GABLES INSURANCE RECOVERY, INC., a/a/o Rafael Rousseaux, Plaintiff, vs. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 274a

Online Reference: FLWSUPP 2202ROUSInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingGABLES INSURANCE RECOVERY, INC., a/a/o Rafael Rousseaux, Plaintiff, vs. ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MANUEL V. FEIJOO, M.D., AND MANUEL V. FEIJOO, M.D., P.A., a/a/o Marisela Yglesias, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 273a

Online Reference: FLWSUPP 2202YGLEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingMANUEL V. FEIJOO, M.D., AND MANUEL V. FEIJOO, M.D., P.A., a/a/o Marisela Yglesias, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.
  • Post category:Volume 22

ROBERTO RIVERA MORALES, M.D., a/a/o Edwin Barrera, Plaintiff, vs. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 272a

Online Reference: FLWSUPP 2202BARRInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingROBERTO RIVERA MORALES, M.D., a/a/o Edwin Barrera, Plaintiff, vs. ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ADVANCE HEALTH SERVICES III, INC. a/a/o Nery Gala, Plaintiff, vs. ALLSTATE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 270a

Online Reference: FLWSUPP 2202GALAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingADVANCE HEALTH SERVICES III, INC. a/a/o Nery Gala, Plaintiff, vs. ALLSTATE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EXCELLENT HEALTH SERVICES, CORP., a/a/o LEONARDO RIVERA, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Defendant.

22 Fla. L. Weekly Supp. 126c

Online Reference: FLWSUPP 2201RIVEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that clearly subjects all payments to any and all limitations of PIP statute, including all fee schedules, unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingEXCELLENT HEALTH SERVICES, CORP., a/a/o LEONARDO RIVERA, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Defendant.
  • Post category:Volume 22

ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Appellant, v. ROYAL DIAGNOSTIC CENTER, INC., a/a/o Iris Leon, Appellee.

22 Fla. L. Weekly Supp. 787a

Online Reference: FLWSUPP 2207LEONInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that subjects payments to any and all limitations authorized by PIP statute, including all fee schedules, clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule

Continue ReadingALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Appellant, v. ROYAL DIAGNOSTIC CENTER, INC., a/a/o Iris Leon, Appellee.
  • Post category:Volume 22

QUANTUM IMAGING HOLDINGS LLC As Assignee Of Rosalinda Hernandez, Plaintiff, vs. ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 144a

Online Reference: FLWSUPP 2201HERNInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Statutory fee schedules -- Clear and unambiguous election by insurer -- Policy providing for payment of 80% of reasonable expenses for medically necessary services and further providing that any amounts payable shall be subject to any and all limitations authorized by section 627.736, or any other provisions of No-Fault Law, including, but not limited to, all fee schedules did not qualify as clear and unambiguous election of limit reimbursements in accordance with statutory fee schedules

Continue ReadingQUANTUM IMAGING HOLDINGS LLC As Assignee Of Rosalinda Hernandez, Plaintiff, vs. ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA MOBILE IMAGING SERVICES, INC. a/a/o Ynocencia Adames, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 1081b

Online Reference: FLWSUPP 2209ADAMInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Where PIP policy specifically incorporates Medicare Part B fee schedules found in PIP statute, insurer is entitled to make payments pursuant to permissive statutory fee schedule

Continue ReadingFLORIDA MOBILE IMAGING SERVICES, INC. a/a/o Ynocencia Adames, Plaintiff, vs. MGA INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

ACTIVE WELLNESS CENTER, INC., (a/a/o Alfredo Herrera), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1082a

Online Reference: FLWSUPP 2209HERRInsurance -- Personal injury protection -- Doctrine of de minimis non curat lex cannot be used to dismiss PIP claim based on amount in controversy

Continue ReadingACTIVE WELLNESS CENTER, INC., (a/a/o Alfredo Herrera), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

CALIXTO ALFONSO, JR., DC, PA, A FLORIDA CORPORATION (A/A/O MARQUEZ, RICARDO), Plaintiff, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1080a

Online Reference: FLWSUPP 2209MARQInsurance -- Personal injury protection -- Small claims -- Doctrine of de minimis non curat lex cannot be used to dismiss PIP claim in small claims court based on amount in controversy

Continue ReadingCALIXTO ALFONSO, JR., DC, PA, A FLORIDA CORPORATION (A/A/O MARQUEZ, RICARDO), Plaintiff, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.
  • Post category:Volume 22

PAN AM DIAGNOSTIC SERVICES, INC. A/A/O CRISTINA LASAGA, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1165a

Online Reference: FLWSUPP 2210LASAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy that states that insurer will pay 80% of allowable amount under participating physician fee schedule of Medicare Part B clearly and unambiguously elects to limit reimbursement to permissive statutory fee schedule -- Policy's general references to coding policies and procedures does not clearly elect use of multiple procedure payment reduction rule that insurer used to reduce payment below permissive statutory fee schedule

Continue ReadingPAN AM DIAGNOSTIC SERVICES, INC. A/A/O CRISTINA LASAGA, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MR SERVICES I, INC. D/B/A C&R IMAGING OF HOLLYWOOD, (Nikita Kopylov), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 962a

Online Reference: FLWSUPP 2208KOPYInsurance -- Personal injury protection -- Coverage -- Medical expenses -- PIP policy providing that insurer will pay 80% of reasonable charges but also providing that amount payable “shall be subject to any and all limitations” authorized by PIP statute does not provide clear and unambiguous notice of intent to limit reimbursement to Medicare Part B fee schedule

Continue ReadingMR SERVICES I, INC. D/B/A C&R IMAGING OF HOLLYWOOD, (Nikita Kopylov), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ALLSTATE INDEMNITY COMPANY, Appellant, vs. GABLES INS. RECOVERY INC. a/a/o ILEANA JIMENEZ, Appellee.

22 Fla. L. Weekly Supp. 1146a

Online Reference: FLWSUPP 2210JIMEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Language in policy at issue clearly and unambiguously notified insured of insurer's intent to use statutory fee schedule methodology to determine reasonable reimbursement rates for medical care expenses

Continue ReadingALLSTATE INDEMNITY COMPANY, Appellant, vs. GABLES INS. RECOVERY INC. a/a/o ILEANA JIMENEZ, Appellee.
  • Post category:Volume 22

INTEGRATED HEALTH SOLUTIONS, d/b/a ADVANCED SPINAL CARE CHIROPRACTIC & REHAB OF LAKELAND As assignee of Hilda Zelaya as parent and Guardian of Alejandro Zelaya, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendants.

22 Fla. L. Weekly Supp. 736b

Online Reference: FLWSUPP 2206ZELAInsurance -- Personal injury protection -- Standing -- Assignment -- Document that assigns both benefits and rights is sufficient to confer standing on medical provider

Continue ReadingINTEGRATED HEALTH SOLUTIONS, d/b/a ADVANCED SPINAL CARE CHIROPRACTIC & REHAB OF LAKELAND As assignee of Hilda Zelaya as parent and Guardian of Alejandro Zelaya, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendants.
  • Post category:Volume 22

GABLES INSURANCE RECOVERY, INC. a/a/o BERNARDINO LANG, Plaintiff, vs. IMPERIAL FIRE AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 619a

Online Reference: FLWSUPP 2205LANGInsurance -- Personal injury protection -- Doctrine of de minimis non curat lex cannot deprive PIP claimant of access to courts -- Insurer's motion for summary judgment based on this doctrine in case in which amount in controversy is $5.58 is denied

Continue ReadingGABLES INSURANCE RECOVERY, INC. a/a/o BERNARDINO LANG, Plaintiff, vs. IMPERIAL FIRE AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MARSHALL BRONSTEIN, DC, a/a/o LEROY FRAGER, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 945b

Online Reference: FLWSUPP 2208FRAGInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Related treatment -- No merit to argument that relatedness of treatment is determined by benefit or necessity of treatment -- Treatment for injuries arising from accident is related treatment irrespective of whether treatment continued past point at which it was no longer beneficial

Continue ReadingMARSHALL BRONSTEIN, DC, a/a/o LEROY FRAGER, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PRECISION DIAGNOSTIC, INC. DBA PRECISION MRI (assignee of Mansour, Kimberly), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 481a

Online Reference: FLWSUPP 2204MANSInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary disposition -- Opposing affidavits filed by insurer do not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charges where PIP policy does not elect permissive statutory fee schedule, and affidavits establish that insurer based payments solely on statutory fee schedule

Continue ReadingPRECISION DIAGNOSTIC, INC. DBA PRECISION MRI (assignee of Mansour, Kimberly), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PRIORITY MEDICAL CENTERS LLC (a/a/o Theresa Sanatass) vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY.

22 Fla. L. Weekly Supp. 858a

Online Reference: FLWSUPP 2207SANAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavits filed by insurer do not preclude summary judgment in favor of medical provider on issue of reasonableness of charges where one affiant was not disclosed as required by court order, and insurer stipulated that second affiant would only testify as to relatedness and necessity of charges -- Even if court considered affidavit of second affiant, court would find it wholly unreliable where affiant signed original affidavit that makes no sense in context of case before filing amended affidavit that is substantively different from original -- Moreover, opinions in affidavit lack foundation

Continue ReadingPRIORITY MEDICAL CENTERS LLC (a/a/o Theresa Sanatass) vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY.
  • Post category:Volume 22

MR SERVICES I, INC., D/B/A C&R IMAGING OF HOLLYWOOD, (Alex Zhukov), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 964a

Online Reference: FLWSUPP 2208ZHUKInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer is stricken where insurer failed to respond to permissible discovery requests regarding expert witness who is affiant, and failure has prejudiced medical provider's ability to prepare for trial -- Even if not stricken, opposing affidavit does not preclude summary judgment in favor of provider on issue of reasonableness of MRI charge -- Opinion that nothing greater than 200% of Medicare fee schedule would ever be reasonable, despite fact that fee schedule was not elected in policy, was not based on sufficient facts or data and was not product of reliable principles and methods

Continue ReadingMR SERVICES I, INC., D/B/A C&R IMAGING OF HOLLYWOOD, (Alex Zhukov), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HIGH DEFINITION MOBILE MRI, INC., as assignee of Jean Dieujuste, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 477a

Online Reference: FLWSUPP 2204DIEUInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charges where affidavit is inadmissible lay opinion testimony, and opinions are not rationally based on affiant's own perceptions -- Where PIP policy does not elect permissive statutory fee schedule, insurer may not rely exclusively on statutory fee schedule to calculate reimbursement of reasonable charge

Continue ReadingHIGH DEFINITION MOBILE MRI, INC., as assignee of Jean Dieujuste, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

COASTAL RADIOLOGY, LLC (a/a/o Daniel Fornes), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 396a

Online Reference: FLWSUPP 2203FORNInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of charge where affidavit does not explain why data from other counties used as basis for affiant's opinion on pricing would apply equally to county where provider practices, and affiant based opinion on data from PIP insurers who incorrectly limited reimbursement to 200% of Medicare fee schedule

Continue ReadingCOASTAL RADIOLOGY, LLC (a/a/o Daniel Fornes), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

A1A MANAGEMENT SERVICES, LLC D/B/A ROBERTO RIVERA-MORALES, M.D, (a/a/o Farano Muselaire), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 835c

Online Reference: FLWSUPP 2207MUSEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Affidavits filed by medical provider are sufficient to meet provider's burden on summary judgment regarding reasonableness of x-ray charges where affidavits set forth factual basis for opinions -- Opposing affidavit and independent medical examination report filed by insurer do not preclude summary judgment in favor of provider on issue of reasonableness of charges where IME report concludes that charges were reasonable and affidavit is conclusory and lacks foundation

Continue ReadingA1A MANAGEMENT SERVICES, LLC D/B/A ROBERTO RIVERA-MORALES, M.D, (a/a/o Farano Muselaire), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

MILLENIUM RADIOLOGY, LLC, d/b/a MILLENIUM OPEN MRI, a/a/o Roberto Diaz, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1100a

Online Reference: FLWSUPP 2209DIAZInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of MRI charge where affidavit lacks evidence that opinion is based on sufficient facts or data or is product of reliable principles and methods or scientific knowledge -- Fact that provider routinely accepts less than charged amount for services provided under HMO and PPO contracts does not create factual issue as to reasonableness of charge

Continue ReadingMILLENIUM RADIOLOGY, LLC, d/b/a MILLENIUM OPEN MRI, a/a/o Roberto Diaz, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

COASTAL RADIOLOGY, LLC (a/a/o Jenesis Ramirez), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 167a

Online Reference: FLWSUPP 2201RAMIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Provider made prima facie showing of reasonableness of its charges by presenting medical bill for service at issue and affidavit of fact witness explaining how price was set -- Affidavit presented by insurer did not preclude summary judgment in favor of provider on issue of reasonableness where affidavit was not based on sufficient facts or data and was not product of reliable principles and method

Continue ReadingCOASTAL RADIOLOGY, LLC (a/a/o Jenesis Ramirez), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

QUANTUM IMAGING HOLDINGS LLC a/a/o KATHLEEN FAVEUR, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 285b

Online Reference: FLWSUPP 2202FAVEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of MRI charge where affidavit presents inadmissible lay opinion testimony and is conclusory -- Fact that Medicare, workers' compensation and other government payors pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingQUANTUM IMAGING HOLDINGS LLC a/a/o KATHLEEN FAVEUR, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

LARRY FISHMAN, L.M.T., P.A., as assignee of ANN MARIE ROBINSON, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1174a

Online Reference: FLWSUPP 2210ROBIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Evidence -- Insurer that did not amend its policy to elect payment under permissive statutory fee schedule is precluded from mentioning section 627.736(5)(a)(2)2 or payments made by insurers who have used permissive statutory fee schedule

Continue ReadingLARRY FISHMAN, L.M.T., P.A., as assignee of ANN MARIE ROBINSON, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

QUANTUM IMAGING HOLDINGS LLC, a/a/o LEAMSEY BLANCO, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 135b

Online Reference: FLWSUPP 2201BLANInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Evidence -- Insurer is precluded from mentioning or asking witnesses about section 627.736(5)(a)2

Continue ReadingQUANTUM IMAGING HOLDINGS LLC, a/a/o LEAMSEY BLANCO, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ROBERTO RIVERA-MORALES, M.D., (a/a/o Humberto Clavijo), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 833b

Online Reference: FLWSUPP 2207CLAVInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavits filed by insurer do not preclude summary judgment in favor of medical provider on issue of reasonableness of x-ray charges where affidavits are conclusory, lack foundation, and are contrary to insurer's previous position, and affiants are not qualified to render opinion on reasonableness of charges -- Insurer is precluded from relying on Medicare fee schedule to determine reimbursement level when it did not adopt fee schedule in its policy

Continue ReadingROBERTO RIVERA-MORALES, M.D., (a/a/o Humberto Clavijo), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

ROBERTO RIVERA-MORALES, M.D., (a/a/o Fabian A. Mejia-Quintero), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 271b

Online Reference: FLWSUPP 2202MEJIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Where it is undisputed that insurer did not adopt permissive statutory fee schedule in PIP policy, it is precluded from relying on Medicare Part B fee schedule in reimbursement of claim -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of charges where affiant's opinions are not based on sufficient facts or data and are not product of reliable principles and methods

Continue ReadingROBERTO RIVERA-MORALES, M.D., (a/a/o Fabian A. Mejia-Quintero), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

QUANTUM IMAGING HOLDINGS, LLC, A/A/O GEROME BAPTELMY, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 142a

Online Reference: FLWSUPP 2201BAPTInsurance -- Personal injury protection -- Evidence -- Motion in limine to exclude reference to rates contracted with health insurance companies and Medicare and workers' compensation fee schedules is granted -- Health insurance rates and fee schedules are irrelevant to PIP case, and any probative value is substantially outweighed by danger of unfair prejudice, confusing issues, and misleading jury

Continue ReadingQUANTUM IMAGING HOLDINGS, LLC, A/A/O GEROME BAPTELMY, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA WELLNESS & REHABILITATION CENTER, INC., (a/a/o Jose Ferrer), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s)

22 Fla. L. Weekly Supp. 837a

Online Reference: FLWSUPP 2207FERRInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Medicare and TriCare fee schedules filed by insurer do not preclude summary judgment in favor of medical provider on issue of reasonableness of charges -- Medical provider is not required to provide expert testimony regarding reasonableness of medical bills; prima facie showing of reasonableness can be established by presenting bills along with testimony that services were provided to insured

Continue ReadingFLORIDA WELLNESS & REHABILITATION CENTER, INC., (a/a/o Jose Ferrer), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s)
  • Post category:Volume 22

ANTHONY AQUINO, D.C., P.A., as assignee of Mercedes Belisario, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 135a

Online Reference: FLWSUPP 2201BELIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Evidence -- Amount medical provider's competitors charge is relevant to issue of reasonableness of provider's charges -- Motion in limine denied

Continue ReadingANTHONY AQUINO, D.C., P.A., as assignee of Mercedes Belisario, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HALLANDALE OPEN MRI, LLC., as assignee of Carnes Vilatte, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 851a

Online Reference: FLWSUPP 2207VILAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of MRI charge where affidavit is conclusory and lacks foundation, and affiant is not qualified to render opinion on reasonableness of charge -- Fact that Medicare and private health insurance pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingHALLANDALE OPEN MRI, LLC., as assignee of Carnes Vilatte, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

QUANTUM IMAGING HOLDINGS LLC, a/a/o JORGE LOAISIGA, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 154b

Online Reference: FLWSUPP 2201LOAIInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Evidence -- Where insurer has failed to comply with court order compelling it to produce documents identifying cases in which insurer asserts that providers have accepted 200% of Medicare fee schedule or less, and offers made by insurer in different cases with different facts would not be relevant to instant case, insurer is precluded from mentioning settlements made in other cases

Continue ReadingQUANTUM IMAGING HOLDINGS LLC, a/a/o JORGE LOAISIGA, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA, LLC D/B/A, PHYSICIANS REGIONAL MEDICAL CENTER-COLLIER BOULEVARD, A FLORIDA CORP. (A/A/O MCDONALD, CASEY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 479b

Online Reference: FLWSUPP 2204CMCDInsurance -- Personal injury protection -- Affirmative defense asserting that insurer's liability is limited to terms of policy and endorsement is stricken -- Issue is whether amount charged by medical provider was reasonable, not whether insurer paid reasonable amount

Continue ReadingNAPLES HMA, LLC D/B/A, PHYSICIANS REGIONAL MEDICAL CENTER-COLLIER BOULEVARD, A FLORIDA CORP. (A/A/O MCDONALD, CASEY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

DR. ALLAN MANDELL, P.A., d/b/a MANDELL CHIROPRACTIC CENTRE, a/a/o George Cargil, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1079c

Online Reference: FLWSUPP 2209CARGInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Where PIP policy does not clearly and unambiguously elect permissive statutory fee schedule, insurer cannot rely on fee schedule to determine reasonableness of charges -- Relatedness and necessity of charges -- Insurer that paid medical provider's bills at reduced amount without challenging relatedness or necessity of charges cannot raise those issues for first time after provider files suit for underpayment of bills

Continue ReadingDR. ALLAN MANDELL, P.A., d/b/a MANDELL CHIROPRACTIC CENTRE, a/a/o George Cargil, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MR SERVICES I, INC., D/B/A C&R IMAGING OF HOLLYWOOD, (Tamara G. Rodriguez), Plaintiff, vs. STAR CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 856b

Online Reference: FLWSUPP 2207TRODInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Related and necessary services -- Insurer may not challenge relatedness and necessity of services for which it has already paid benefits

Continue ReadingMR SERVICES I, INC., D/B/A C&R IMAGING OF HOLLYWOOD, (Tamara G. Rodriguez), Plaintiff, vs. STAR CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS, Inc. d/b/a EMERGENCY RESOURCES GROUP, as assignee of Terrence Reed, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 713b

Online Reference: FLWSUPP 2206REEDInsurance -- Venue -- Venue statute governing actions against corporations is not applicable to action against insurer who is reciprocal insurer, not corporation -- Venue is proper in county where medical provider's billing was generated and payment was due -- Claims of inconvenience to insurer and witnesses do not support transfer of venue where case involves two legal issues that will not require witness testimony -- Motion to transfer venue is denied

Continue ReadingEMERGENCY PHYSICIANS, Inc. d/b/a EMERGENCY RESOURCES GROUP, as assignee of Terrence Reed, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

BIGLEY AND ASSOCIATES, P.A. d/b/a PREMIER ORTHOPEDIC OF ORLANDO as assignee of RODERICK BOYKINS, Plaintiff, vs. FIRST FLORIDIAN AUTO AND HOME INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 611a

Online Reference: FLWSUPP 2205BOYKInsurance -- Personal injury protection -- Coverage -- Notice of loss -- Where medical provider was originally informed that pedestrian struck by motor vehicle had no insurance, and provider filed claim within 35 days of learning of existence and identity of insurer of driver who struck pedestrian, provider's submission of bills complied with PIP statute

Continue ReadingBIGLEY AND ASSOCIATES, P.A. d/b/a PREMIER ORTHOPEDIC OF ORLANDO as assignee of RODERICK BOYKINS, Plaintiff, vs. FIRST FLORIDIAN AUTO AND HOME INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HALLANDALE OPEN MRI, LLC, as assignee of Artemese Bryant, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 646b

Online Reference: FLWSUPP 2205BRYAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary disposition -- Opposing affidavits filed by insurer do not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charge where affidavits are self-serving, conclusory and lack foundation and affiants are not qualified to render opinion on reasonableness of MRI charges -- Fact that Medicare, workers' compensation, and health insurance pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingHALLANDALE OPEN MRI, LLC, as assignee of Artemese Bryant, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA WELLNESS & REHAB CENTER, INC., (a/a/o Pedro Barrios), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 627a

Online Reference: FLWSUPP 2205BARRInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavits filed by insurer do not preclude summary judgment in favor of medical provider on issue of reasonableness of medical charge where affidavits are conclusory and self-serving -- Fact that Medicare, workers' compensation, and health insurance pay less than amount billed by provider is insufficient to create triable issue as to reasonableness of charge

Continue ReadingFLORIDA WELLNESS & REHAB CENTER, INC., (a/a/o Pedro Barrios), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HALLANDALE OPEN MRI, LLC, as assignee of Jean Wilkens Saint-Ange, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 149a

Online Reference: FLWSUPP 2201SAINInsurance -- Personal injury protection -- Summary judgment -- Reasonableness of charges -- Medical provider met its burden of proving charge for MRI was reasonable -- Opposing affidavit of non-expert that is conclusory and lacks foundation for affiant's opinion is insufficient to create genuine issue of material fact and avoid summary judgment

Continue ReadingHALLANDALE OPEN MRI, LLC, as assignee of Jean Wilkens Saint-Ange, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

HALLANDALE OPEN MRI, LLC as assignee of Mickael Cohen, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 140a

Online Reference: FLWSUPP 2201COHEInsurance -- Personal injury protection -- Summary judgment -- Reasonableness of charges -- Medical provider met its burden of proving charge for MRI was reasonable -- Opposing affidavit of non-expert that is self-serving and conclusory is insufficient to create genuine issue of material fact and avoid summary judgment

Continue ReadingHALLANDALE OPEN MRI, LLC as assignee of Mickael Cohen, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MILLENNIUM RADIOLOGY, LLC, as assignee of Carmen Ruiz, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 136b

Online Reference: FLWSUPP 2201RUIZInsurance -- Personal injury protection -- Summary disposition -- Reasonableness of charges -- Medical provider met its burden of proving charges for MRI and CAT scans were reasonable -- Opposing affidavit of non-expert that is conclusory and lacks foundation for affiant's opinion is insufficient to create genuine issue of material fact and avoid summary disposition

Continue ReadingMILLENNIUM RADIOLOGY, LLC, as assignee of Carmen Ruiz, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PAN AM DIAGNOSTICS SERVICES INC., d/b/a WIDE OPEN MRI, as assignee of Svetlana Pimanova, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 650a

Online Reference: FLWSUPP 2205PIMAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary disposition -- Opposing affidavit filed by insurer does not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charges where affidavit is conclusory and lacks foundation, and affiant is not qualified to render opinion on reasonableness of charge -- Fact that Medicare, workers' compensation and health insurance pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingPAN AM DIAGNOSTICS SERVICES INC., d/b/a WIDE OPEN MRI, as assignee of Svetlana Pimanova, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

WILLIAM ALLAN AYRES and MARYSE GOULET, Plaintiffs, vs. SHEILA KENNEDY, Defendant.

22 Fla. L. Weekly Supp. 646a

Online Reference: FLWSUPP 2205AYRELandlord-tenant -- Eviction -- Purchase agreement -- Eviction action is dismissed where contract attached to complaint is purchase agreement, and plaintiffs are unable to produce evidence of claimed lease agreement

Continue ReadingWILLIAM ALLAN AYRES and MARYSE GOULET, Plaintiffs, vs. SHEILA KENNEDY, Defendant.
  • Post category:Volume 22

PALMS MRI DIAGNOSTIC IMAGING CENTERS, INC, as assignee of Frank Sirker, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 393b

Online Reference: FLWSUPP 2203SIRKInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavit filed by insurer does not preclude summary judgment in favor of medical provider on issue of reasonableness of MRI charge where affidavit is conclusory and lacks foundation, and affiant is not qualified to render opinion on reasonableness of charge -- Fact that Medicare, workers' compensation, and other payors pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingPALMS MRI DIAGNOSTIC IMAGING CENTERS, INC, as assignee of Frank Sirker, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

COASTAL RADIOLOGY, LLC., (Manuel Marono), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 166a

Online Reference: FLWSUPP 2201MAROInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Opposing affidavits filed by insurer do not preclude summary judgment in favor of medical provider on issue of reasonableness of MRI charges where affiants are not qualified to render opinion on reasonableness of charges and opinions are not based upon sufficient facts or data, are not product of reliable principles or methods and do not reflect reliable application of principles and methods to facts

Continue ReadingCOASTAL RADIOLOGY, LLC., (Manuel Marono), Plaintiff(s), vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

PALMS MRI DIAGNOSTIC IMAGING CENTERS, INC., as assignee of Steven Horrigan, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 138a

Online Reference: FLWSUPP 2201HORRInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary disposition -- Opposing affidavit filed by insurer does not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charge where affidavit is conclusory and lacks foundation, and affiant is not qualified to render opinion on reasonableness of charge -- Fact that Medicare, workers' compensation, and health insurance pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingPALMS MRI DIAGNOSTIC IMAGING CENTERS, INC., as assignee of Steven Horrigan, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HALLANDALE OPEN MRI, LLC, as assignee of Alvis Afanador, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 132c

Online Reference: FLWSUPP 2201AFANInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary disposition -- Opposing affidavit filed by insurer does not preclude summary disposition in favor of medical provider on issue of reasonableness of MRI charge where affidavit is conclusory and lacks foundation, and affiant is not qualified to render opinion on reasonableness of charge -- Fact that Medicare and health insurance pay less than amount billed by provider does not, by itself, create factual issue as to reasonableness of charge

Continue ReadingHALLANDALE OPEN MRI, LLC, as assignee of Alvis Afanador, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE CO., Appellant, vs. NEW SMYRNA IMAGING LLC, as assignee of Ryan Campbell, Appellee.

22 Fla. L. Weekly Supp. 508a

Online Reference: FLWSUPP 2205CAMPInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness of charges -- Summary judgment -- Trial court did not abuse its discretion by excluding opposing affidavit filed by insurer on issue of reasonableness of MRI charge where affiant had no personal knowledge of charges in community and could not attest to truthfulness or reliability of data used to form his opinion that medical provider's charge was not reasonable -- Evidence that medical provider routinely accepted less from other vendors than it charged insurer for same services may be relevant in determining whether charges were unreasonable, but that information alone, even if uncontested, is not sufficient to prove that charges were unreasonable

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE CO., Appellant, vs. NEW SMYRNA IMAGING LLC, as assignee of Ryan Campbell, Appellee.
  • Post category:Volume 22

PROGRESSIVE AMERICAN INSURANCE COMPANY; PROGRESSIVE EXPRESS INSURANCE COMPANY; and PROGRESSIVE SELECT INSURANCE COMPANY, Plaintiffs, v. BEST MEDICAL HEALTHCARE SOLUTION, LLC (F/K/A TROPICAL HEALING POWER, LLC), Defendant.

22 Fla. L. Weekly Supp. 238b

Online Reference: FLWSUPP 2202PROGInsurance -- Personal injury protection -- Coverage -- Lawfully rendered services -- Where medical provider was not licensed by state and did not fall within licensing exemption for clinics that are wholly owned by licensed health care practitioners, neither insurers nor insureds are liable to provider for charges for services

Continue ReadingPROGRESSIVE AMERICAN INSURANCE COMPANY; PROGRESSIVE EXPRESS INSURANCE COMPANY; and PROGRESSIVE SELECT INSURANCE COMPANY, Plaintiffs, v. BEST MEDICAL HEALTHCARE SOLUTION, LLC (F/K/A TROPICAL HEALING POWER, LLC), Defendant.
  • Post category:Volume 22

TROPICAL HEALING POWER, LLC, as assignee of Ernesto Mons, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 846a

Online Reference: FLWSUPP 2207MONSInsurance -- Personal injury protection -- Coverage -- Lawfully rendered services -- Where, during time of insured's treatment, medical provider falsely identified licensed massage therapist as owner of provider in order to circumvent requirements of PIP statute and Florida Health Care Clinic Act, neither insurer nor insured are liable to provider for charges for services

Continue ReadingTROPICAL HEALING POWER, LLC, as assignee of Ernesto Mons, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

TROPICAL HEALING POWER, LLC, as assignee of Noemi Santovenia, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 845b

Online Reference: FLWSUPP 2207SANTInsurance -- Personal injury protection -- Coverage -- Lawfully rendered services -- Where, during time of insured's treatment, medical provider falsely identified licensed massage therapist as owner of provider in order to circumvent requirements of PIP statute and Florida Health Care Clinic Act, neither insurer nor insured are liable to provider for charges for services

Continue ReadingTROPICAL HEALING POWER, LLC, as assignee of Noemi Santovenia, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Michaela Sass, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 722a

Online Reference: FLWSUPP 2206SASSInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Lawfully rendered treatment -- Affirmative defense of failure to comply with provision of Health Care Clinic Act concerning medical director is stricken -- Insurer cannot state cause of action for perceived violation of Act absent independent determination of violation by Agency for Health Care Administration, and affirmative defense is barred by insurer's own actions in finding claim compensable and reimbursing medical provider under statutory fee schedule

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Michaela Sass, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

IMPERIAL FIRE & CASUALTY INSURANCE COMPANY, Plaintiff, vs. MAGIC HANDS SOLUTION INC., Defendant.

22 Fla. L. Weekly Supp. 949b

Online Reference: FLWSUPP 2208IMPEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Lawful charges -- Provider which was not licensed as a clinic under Health Care Clinic Act was not eligible to receive reimbursement under PIP statute where provider did not qualify for one of exceptions delineated in statute -- Provider in instant case, which is wholly owned by licensed massage therapist, does not qualify for any of the statutory exceptions from licensure -- Insurer is not legally obligated to pay pending claim

Continue ReadingIMPERIAL FIRE & CASUALTY INSURANCE COMPANY, Plaintiff, vs. MAGIC HANDS SOLUTION INC., Defendant.
  • Post category:Volume 22

GEICO GENERAL INSURANCE COMPANY, Appellant, v. UNITED HEALTH & REHAB ASSOCIATES OF FLORIDA, INC., a/a/o Marlene Metellus, Leremy Metellus & Berlove Metellus, Appellee.

22 Fla. L. Weekly Supp. 39a

Online Reference: FLWSUPP 2201METEInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Lawfully rendered services -- Where medical provider failed to comply or substantially comply with requirements of Health Care Clinic Act concerning appointment of medical director, services rendered were not lawful and compensable -- Error to grant summary judgment in favor of provider

Continue ReadingGEICO GENERAL INSURANCE COMPANY, Appellant, v. UNITED HEALTH & REHAB ASSOCIATES OF FLORIDA, INC., a/a/o Marlene Metellus, Leremy Metellus & Berlove Metellus, Appellee.
  • Post category:Volume 22

MDM CHIROPRACTIC CENTER, P.A. a/a/o, Ernanie Stephon, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 649b

Online Reference: FLWSUPP 2205STEPInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Initial treatment within 14 days after accident -- Where PIP policy contains amendatory endorsement adopting 2013 PIP statute requirement that party seeking PIP benefits must receive initial treatment within 14 days after accident, insurer has no obligation to pay claim submitted by assignee of insured who did not receive initial treatment within 14 days after accident

Continue ReadingMDM CHIROPRACTIC CENTER, P.A. a/a/o, Ernanie Stephon, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PAUL HUFF, Plaintiff, v. STATE FARM FIRE & CASUALTY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 117b

Online Reference: FLWSUPP 2201HUFFInsurance -- Personal injury protection -- Declaratory judgment -- Coverage -- Medical expenses -- Former husband who is named driver in PIP policy issued to ex-wife is entitled to coverage under ex-wife's policy for injuries suffered while driving vehicle that was titled solely in name of ex-wife -- Where former husband was allowed to use vehicle under terms of marital settlement agreement, but there was no agreement to sell vehicle or transfer title to him, former husband was not owner or beneficial owner of vehicle

Continue ReadingPAUL HUFF, Plaintiff, v. STATE FARM FIRE & CASUALTY COMPANY, Defendant.
  • Post category:Volume 22

GABLES INSURANCE RECOVERY, INC. A/A/O ROMINA G. FRANCICCI, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 380a

Online Reference: FLWSUPP 2203RFRAInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Exhaustion of policy limits -- Where benefits were exhausted in payment of other medical providers before plaintiff filed suit, insurer is entitled to summary judgment

Continue ReadingGABLES INSURANCE RECOVERY, INC. A/A/O ROMINA G. FRANCICCI, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ROBERTO RIVERA-MORALES M.D. A/A/O LUCIA PERLAZA, Plaintiffs, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendants.

22 Fla. L. Weekly Supp. 271a

Online Reference: FLWSUPP 2202PERLInsurance -- Personal injury protection -- Where there is no reasonable explanation for insurer's failure to inform medical provider of exhaustion of benefits until six months after exhaustion and four months after filing of suit, trial court exercises its inherent authority to impose sanctions for bad faith conduct

Continue ReadingROBERTO RIVERA-MORALES M.D. A/A/O LUCIA PERLAZA, Plaintiffs, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendants.
  • Post category:Volume 22

USAA CASUALTY INSURANCE COMPANY, Appellant, vs. DADE INJURY REHAB, INC., (a/a/o CARLENA ROBINSON), Appellee.

22 Fla. L. Weekly Supp. 185b

Online Reference: FLWSUPP 2202CROBInsurance -- Personal injury protection -- Coverage -- Exhaustion of policy limits -- Although at time insurer exhausted benefits and medical provider filed suit over claims paid pursuant to permissive statutory fee schedule Florida Supreme Court had not yet ruled on issue of whether insurer could calculate reimbursement utilizing fee schedule without electing to do so in policy, binding precedent from district courts of appeal already required that insurer elect statutory fee schedule before reducing payment -- Accordingly, post-suit exhaustion of benefits may not shield insurer from liability -- Remand to trial court to determine whether $6.00 payment that exhausted benefits was gratuitous payment, and if so, to enter judgment for provider

Continue ReadingUSAA CASUALTY INSURANCE COMPANY, Appellant, vs. DADE INJURY REHAB, INC., (a/a/o CARLENA ROBINSON), Appellee.
  • Post category:Volume 22

GABLES INSURANCE RECOVERY, INC A/A/O NOEMI CHAVEZ, Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1167a

Online Reference: FLWSUPP 2210CHAVInsurance -- Personal injury protection -- Coverage -- Exhaustion of policy limits -- In absence of any evidence of bad faith, where benefits were exhausted in payment of other medical providers before assignee of medical provider filed suit for balance of reduced claim, insurer is entitled to summary judgment -- Insurer was not required to reserve funds for claim reduced through erroneous application of statutory fee schedule and is not liable for balance of reduced claim after exhaustion of benefits

Continue ReadingGABLES INSURANCE RECOVERY, INC A/A/O NOEMI CHAVEZ, Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

GABLES INSURANCE RECOVERY A/A/O VIVIAN A. MONTEAGUDO LEIVA, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 637a

Online Reference: FLWSUPP 2205LEIVInsurance -- Personal injury protection -- Coverage -- Exhaustion of policy limits -- In absence of any evidence of bad faith, where benefits were exhausted in payment of other medical providers before assignee of medical provider filed suit for balance of reduced claim, insurer is entitled to summary judgment -- Insurer was not required to reserve funds for claim reduced through erroneous application of statutory fee schedule and is not liable for balance of reduced claim after exhaustion of benefits

Continue ReadingGABLES INSURANCE RECOVERY A/A/O VIVIAN A. MONTEAGUDO LEIVA, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o ELIZABETH DE LA GUARDIA, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 630a

Online Reference: FLWSUPP 2205GUARInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Exhaustion of policy limits -- In absence of bad faith, post-suit exhaustion of benefits absolves insurer from responsibility to pay otherwise valid claim

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o ELIZABETH DE LA GUARDIA, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ADVANCED CHIROPRACTIC & MEDICAL CENTER CORP. (a/a/o Marie Cham), Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 161a

Online Reference: FLWSUPP 2201CHAMInsurance -- Personal injury protection -- Evidence -- Motion in limine is denied where mere mention of items at trial would not be prejudicial or could be cured or possibility of mention at trial is merely speculative

Continue ReadingADVANCED CHIROPRACTIC & MEDICAL CENTER CORP. (a/a/o Marie Cham), Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

BEVERLY LORRAINE, Plaintiff, vs. ENTERPRISE LEASING COMPANY OF ORLANDO, LLC, Defendant.

22 Fla. L. Weekly Supp. 943a

Online Reference: FLWSUPP 2208LORRInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Determination by qualified medical provider that insured had broken bone in her wrist that caused extreme pain and seriously interfered with her ability to function at work satisfied requirement for determination of emergency medical condition despite provider's failure to use phrase “emergency medical condition” -- Insured is entitled to reimbursement of medical expenses up to $10,000

Continue ReadingBEVERLY LORRAINE, Plaintiff, vs. ENTERPRISE LEASING COMPANY OF ORLANDO, LLC, Defendant.
  • Post category:Volume 22

PAN AM DIAGNOSTIC SERVICES, INC. dba WIDE OPEN MRI a/a/o Austin Yengst, Plaintiff, v. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1103a

Online Reference: FLWSUPP 2209YENGInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 where qualified provider has not determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition

Continue ReadingPAN AM DIAGNOSTIC SERVICES, INC. dba WIDE OPEN MRI a/a/o Austin Yengst, Plaintiff, v. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FIRST CHOICE CHIROPRACTIC & REHABILITATION CENTER, INC., d/b/a FIRST CHOICE CARE CHIROPRACTIC, a/a/o ILERTA JEAN BAPTISTE, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 617a

Online Reference: FLWSUPP 2205BAPTInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Physician who did not provide any services or care to claimant is not qualified medical provider for purposes of determining whether claimant had emergency medical condition -- Non-treating physician's determination that claimant did not have emergency medical condition does not limit reimbursement to $2,500 when treating physician has determined that claimant had emergency medical condition -- PIP statute does not permit insurer to challenge determination of qualified provider that claimant had emergency medical condition

Continue ReadingFIRST CHOICE CHIROPRACTIC & REHABILITATION CENTER, INC., d/b/a FIRST CHOICE CARE CHIROPRACTIC, a/a/o ILERTA JEAN BAPTISTE, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant
  • Post category:Volume 22

PEMBROKE PINES MRI, INC. d/b/a DPI OF PEMBROKE PINES a/a/o STEVEN WEINKLE, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 448a

Online Reference: FLWSUPP 2204WEINInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 where qualified provider has not determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition

Continue ReadingPEMBROKE PINES MRI, INC. d/b/a DPI OF PEMBROKE PINES a/a/o STEVEN WEINKLE, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EDUARDO J. GARRIDO, D.C., P.A., a/a/o ALEJANDRO J. GODOY, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 446a

Online Reference: FLWSUPP 2204GODOInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Emergency medical condition -- Where qualified medical provider did not diagnose claimant with an emergency medical condition, the available benefits under policy and statute were properly limited to $2500

Continue ReadingEDUARDO J. GARRIDO, D.C., P.A., a/a/o ALEJANDRO J. GODOY, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PRECISION DIAGNOSTICS, INC., a Florida Corp. (a/a/o Plumer, David), Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 393a

Online Reference: FLWSUPP 2203PLUMInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Declaratory action -- Question of whether, under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, reimbursement limit of $10,000 or $2,500 is applicable when record is silent as to existence of emergency medical condition is proper matter for declaratory relief -- Motion to dismiss is denied

Continue ReadingPRECISION DIAGNOSTICS, INC., a Florida Corp. (a/a/o Plumer, David), Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PRECISION DIAGNOSTIC, INC., d/b/a PRECISION MRI, assignee of ALLEN, JESSICA, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 389c

Online Reference: FLWSUPP 2203ALLEInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 where qualified provider has not determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition

Continue ReadingPRECISION DIAGNOSTIC, INC., d/b/a PRECISION MRI, assignee of ALLEN, JESSICA, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

MEDICAL CENTER OF THE PALM BEACHES D/B/A CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC. A/A/O CARMEN SANTIAGO, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 279a

Online Reference: FLWSUPP 2202CSANInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 until there was determination that insured had suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition -- Claim for benefits in excess of $2,500 was not overdue or ripe for litigation prior to determination that insured suffered emergency medical condition -- Because suit filed before insurer provided determination of emergency medical condition was premature, insurer's post-suit payment of benefits upon receipt of that determination was not confession of judgment entitling medical provider to award of attorney's fees and costs -- Question certified

Continue ReadingMEDICAL CENTER OF THE PALM BEACHES D/B/A CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC. A/A/O CARMEN SANTIAGO, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

L.LEE SMITH, D.C., P.A., (as assignee of PETRINA EASTON), Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 445a

Online Reference: FLWSUPP 2204EASTInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 where qualified provider has not determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition -- Where insurer's explanation of reimbursement requested additional information regarding existence of emergency medical condition to warrant payment of any additional benefits, request for information tolled time for payment of claim, and claim was not overdue when demand letter was sent -- Question certified

Continue ReadingL.LEE SMITH, D.C., P.A., (as assignee of PETRINA EASTON), Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC., D/B/A TOTAL MD, a Florida Corporation (assignee of Cange, Fegens) Plaintiff(s), vs. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 960b

Online Reference: FLWSUPP 2208CANGInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Declaratory action -- Insurer's payment of additional benefits in response to receipt of determination of emergency medical condition from non-party after filing of declaratory action seeking declaration that PIP coverage extends to $10,000 when there is no determination of absence of emergency medical condition did not constitute confession of judgment entitling provider to attorney's fees award where insurer did not wrongfully withhold benefits or pay benefits as result of suit -- Claim is dismissed as moot

Continue ReadingCENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC., D/B/A TOTAL MD, a Florida Corporation (assignee of Cange, Fegens) Plaintiff(s), vs. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

FLORIDA SPINE & JOINT INSTITUTE, LLC, a/a/o Walter Koos, Plaintiff(s), v. UNITED SERVICES AUTOMOBILE ASSOC., Defendant(s).

22 Fla. L. Weekly Supp. 957a

Online Reference: FLWSUPP 2208KOOSInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 until qualified provider determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition -- Insurer's payment of additional benefits after post-suit receipt of determination of emergency medical condition did not constitute confession of judgment entitling provider to attorney's fees award

Continue ReadingFLORIDA SPINE & JOINT INSTITUTE, LLC, a/a/o Walter Koos, Plaintiff(s), v. UNITED SERVICES AUTOMOBILE ASSOC., Defendant(s).
  • Post category:Volume 22

DR. CRAIG SELINGER, D.C., P.A. d/b/a SELINGER CHIROPRACTIC & ACUPUNCTURE, as assignee of Jonathan Grant, Plaintiff, vs. ENTERPRISE LEASING COMPANY OF FLORIDA, LLC, Defendant.

22 Fla. L. Weekly Supp. 163a

Online Reference: FLWSUPP 2201GRANInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Physician hired by insurer to perform compulsory medical examination of insured cannot be used to opine that insured did not have emergency medical condition qualifying insured for higher coverage limits where physician is not treating medical provider

Continue ReadingDR. CRAIG SELINGER, D.C., P.A. d/b/a SELINGER CHIROPRACTIC & ACUPUNCTURE, as assignee of Jonathan Grant, Plaintiff, vs. ENTERPRISE LEASING COMPANY OF FLORIDA, LLC, Defendant.
  • Post category:Volume 22

ORTHOPEDIC SPECIALISTS LLP AS ASSIGNEE OF COLLEEN FONTANA, Plaintiff(s), v. USAA CASUALTY INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 131a

Online Reference: FLWSUPP 2201FONTInsurance -- Personal injury protection -- Where insurer partially paid medical provider's bill and requested additional information concerning emergency medical condition, insurer's obligation to pay claim did not arise until after provider complied with request for additional information -- Claim paid within thirty days of receipt of requested information, albeit after suit was filed, was timely paid

Continue ReadingORTHOPEDIC SPECIALISTS LLP AS ASSIGNEE OF COLLEEN FONTANA, Plaintiff(s), v. USAA CASUALTY INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

C&R IMAGING OF JACKSONVILLE a/a/o Telly Miller, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 450a

Online Reference: FLWSUPP 2204TMILInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 where qualified provider has not determined that insured suffered emergency medical condition -- Where insurer timely paid charges after post-suit receipt of emergency medical condition determination, payment did not constitute confession of judgment

Continue ReadingC&R IMAGING OF JACKSONVILLE a/a/o Telly Miller, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant.
  • Post category:Volume 22

SOUTHSIDE CHIROPRACTIC CENTRE, INC. (TELLY MILLER), Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant

22 Fla. L. Weekly Supp. 152a

Online Reference: FLWSUPP 2201TMILInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Amendments to PIP statute requiring insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition are harmonized to limit benefits to $2,500 unless provider has determined that claimant had emergency medical condition, not to require payment of up to $10,000 in benefits unless provider notified insurer that claimant had not suffered such condition

Continue ReadingSOUTHSIDE CHIROPRACTIC CENTRE, INC. (TELLY MILLER), Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Jessica Lamarre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 910a

Online Reference: FLWSUPP 2208LAMAInsurance -- Personal injury protection -- Small claims -- Trial court erred in considering amount of claim stated in demand letter in ruling on motion to dismiss -- Doctrine of de minimis non curat lex does not preclude small claims action seeking less than $100 in PIP benefits -- Error to base dismissal in part on affirmative defense that medical provider did not bring action in good faith because it did not attempt to mitigate damages by reaching out to insurer before initiating litigation -- PIP statute only requires that a claimant submit presuit demand letter, which provider did

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A., (a/a/o Jessica Lamarre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Racquel Pierre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 908a

Online Reference: FLWSUPP 2208PIERInsurance -- Personal injury protection -- Small claims -- Trial court erred in considering amount of claim stated in demand letter in ruling on motion to dismiss -- Doctrine of de minimis non curat lex does not preclude small claims action seeking less than $100 in PIP benefits -- Error to base dismissal in part on affirmative defense that medical provider did not bring action in good faith because it did not attempt to mitigate damages by reaching out to insurer before initiating litigation -- PIP statute only requires that a claimant submit presuit demand letter, which provider did

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A., (a/a/o Racquel Pierre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

MERCURY INSURANCE COMPANY OF FLORIDA, Appellant, v. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, Appellee.

22 Fla. L. Weekly Supp. 688a

Online Reference: FLWSUPP 2206MER3Insurance -- Personal injury protection -- Coverage -- Medical expenses -- Emergency services -- Deductible -- Insurer acted improperly when it applied emergency provider's bill to deductible -- Deductible must first be applied to benefits paid to non-priority providers when both priority and non-priority providers seek payment of PIP benefits

Continue ReadingMERCURY INSURANCE COMPANY OF FLORIDA, Appellant, v. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, Appellee.
  • Post category:Volume 22

USAA GENERAL INDEMNITY COMPANY, Appellant, vs. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, a/a/o Adriel Rodriguez, Appellee.

22 Fla. L. Weekly Supp. 341a

Online Reference: FLWSUPP 2203ARODNOT FINAL VERSION OF OPINION
Subsequent Changes at 22 Fla. L. Weekly Supp. 686aInsurance -- Personal injury protection -- Coverage -- Emergency services -- Deductible -- No error in finding that, where both emergency service providers and other medical providers seek PIP benefits, deductible must be applied to benefits paid to other providers rather than those paid to emergency service providers

Continue ReadingUSAA GENERAL INDEMNITY COMPANY, Appellant, vs. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, a/a/o Adriel Rodriguez, Appellee.
  • Post category:Volume 22

DOC TONY WESTSIDE CHIROPRACTIC, LLC a/a/o Ada Santiago, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 640a

Online Reference: FLWSUPP 2205SANTInsurance -- Personal injury protection -- Coverage -- Emergency medical condition -- Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 until qualified provider determined that insured suffered emergency medical condition -- No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition -- Insurer's payment of additional benefits after post-suit receipt of determination of emergency medical condition did not constitute confession of judgment entitling provider to attorney's fees award

Continue ReadingDOC TONY WESTSIDE CHIROPRACTIC, LLC a/a/o Ada Santiago, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

EMERGENCY MEDICINE ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Eva Ponce, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 827b

Online Reference: FLWSUPP 2207PONCInsurance -- Personal injury protection -- Coverage -- Emergency services -- Deductible -- Because insurer is mandated by statute to reserve $5,000 for emergency services providers, insurer should not have applied claim by plaintiff provider within that classification to deductible

Continue ReadingEMERGENCY MEDICINE ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Eva Ponce, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, as assignee of Ebony Williams, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 728c

Online Reference: FLWSUPP 2206WILLInsurance -- Personal injury protection -- Coverage -- Emergency services -- Deductible -- Because insurer is mandated by statute to reserve $5,000 for emergency service providers, insurer should not have applied claim by plaintiff provider within that classification to deductible -- Insurer cannot dispute reasonableness of charge after it allowed full amount of charge when applying charge to deductible

Continue ReadingEMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, as assignee of Ebony Williams, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, as assignee of Tina House, Plaintiff, v. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.

22 Fla. L. Weekly Supp. 727a

Online Reference: FLWSUPP 2206HOUSInsurance -- Personal injury protection -- Coverage -- Emergency services -- Deductible -- Providers of emergency services and care who submit their bills in accordance with section 627.736(4)(c) are entitled to have their bills paid regardless of the existence of a deductible

Continue ReadingEMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, as assignee of Tina House, Plaintiff, v. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.
  • Post category:Volume 22

EMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Damari Adams, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 719a

Online Reference: FLWSUPP 2206ADAMInsurance -- Personal injury protection -- Coverage -- Emergency services -- Deductible -- Because insurer is mandated by statute to reserve $5,000 for emergency service providers, insurer should not have applied claim by plaintiff provider within that classification to deductible

Continue ReadingEMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Damari Adams, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., As assignee of PHUOC LE, Plaintiff, vs. INFINITY AUTO INSURANCE COMPANY, Defendant and NORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., As assignee of BA HUYNH, Plaintiff, vs. INFINITY AUTO INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 263a

Online Reference: FLWSUPP 2202NORTInsurance -- Personal injury protection -- Complaint -- Amendment -- Medical providers may not amend complaint to add additional dates of service where providers previously amended complaint and moved for summary judgment without asserting claim for additional service dates, and providers did not send pre-suit demand letter for additional service dates

Continue ReadingNORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., As assignee of PHUOC LE, Plaintiff, vs. INFINITY AUTO INSURANCE COMPANY, Defendant and NORTH FLORIDA CHIROPRACTIC & REHABILITATION CENTER, INC., As assignee of BA HUYNH, Plaintiff, vs. INFINITY AUTO INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Chiemi Miles, Plaintiff, v. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 365a

Online Reference: FLWSUPP 2203MILEInsurance -- Personal injury protection -- Coverage -- Exhaustion of policy limits -- Where insurer conducted no investigation to determine claim number missing from MRI provider's bill, and evidence shows that insurer would have been able to locate claim number from information provided on bill within 30 days of receipt of bill had it conducted any investigation, insurer is liable for claim despite exhaustion of benefits -- Insurer violated provider's right to priority payment by denying bill without reasonable proof and continuing to make payments to other providers until benefits were exhausted -- Fact that resubmitted bill with correct claim number was not resubmitted within 35 days was not legitimate basis for denying payment -- 35-day requirement is not applicable to resubmitted bills

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Chiemi Miles, Plaintiff, v. GARRISON PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Gladys Maxine Johnson), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 809a

Online Reference: FLWSUPP 2207GJOHInsurance -- Personal injury protection -- Small claims -- Doctrine of de minimis non curat lex cannot be used to dismiss PIP claim in small claims court based on amount in controversy -- Issue of whether trial court erred in going outside of four corners of complaint to consider amount in controversy stated in demand letter was not preserved for appeal by contemporaneous objection

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A., (a/a/o Gladys Maxine Johnson), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Jennifer Tucker), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 807a

Online Reference: FLWSUPP 2207TUCKInsurance -- Personal injury protection -- Small claims -- Doctrine of de minimis non curat lex cannot be used to dismiss PIP claim in small claims court based on amount in controversy -- Issue of whether trial court erred in going outside of four corners of complaint to consider amount in controversy stated in demand letter was not preserved for appeal by contemporaneous objection

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A., (a/a/o Jennifer Tucker), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

ACCUMED CHIROPRACTIC & WELLNESS CENTER, INC., Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 349a

Online Reference: FLWSUPP 2203ACCUInsurance -- Personal injury protection -- Med Pay -- Individual and class action complaint against insurer for declaratory relief and breach of contract arising out of denial of payment based on assertion that emergency medical condition was not established for the injured insured and denial of payment for massage therapy and/or acupuncture -- Action inappropriate for class action treatment where necessary and individualized questions associated with underlying claims will predominate -- Class allegations stricken from amended complaint -- Individual claims dismissed without prejudice to filing amended complaint -- Claim for MedPay benefits cannot be asserted in any future amended complaint given plaintiff's stipulation that it did not have standing to sue for these benefits

Continue ReadingACCUMED CHIROPRACTIC & WELLNESS CENTER, INC., Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

UNIVERSITY CHIROPRACTIC CENTER, INC. (a/a/o Melissa Kovach), Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 391a

Online Reference: FLWSUPP 2203KOVAInsurance -- Personal injury protection -- Affirmative defenses -- Res judicata -- Class action -- Insurer is not entitled to summary judgment on affirmative defense of res judicata based on class action settlement where there is disputed issue of fact as to whether medical provider was given notice of proposed settlement, and notice, if given, was sent directly to represented provider without copy being sent to provider's counsel -- Even if notice and other elements of res judicata were established, doctrine will not be applied where totality of circumstances demonstrates that application of res judicata would defeat ends of justice -- Provider's lawsuit against insurer was pending well before resolution of class action lawsuit, and insurer never put provider on notice of pending class action and its potentially dispositive impact on provider's case until after opt-out deadline for settlement had passed and final judgment had been entered in class action suit

Continue ReadingUNIVERSITY CHIROPRACTIC CENTER, INC. (a/a/o Melissa Kovach), Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
  • Post category:Volume 22

CITY OF ST. PETERSBURG, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 296a

Online Reference: FLWSUPP 2203CITYInsurance -- Personal injury protection -- Reimbursement by insurer of commercial vehicle -- Sedan is private passenger vehicle within meaning of PIP statute, notwithstanding that it was used as police vehicle

Continue ReadingCITY OF ST. PETERSBURG, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

MARIA PREVEZ-FALCON Plaintiff, v. ENTERPRISE LEASING COMPANY OF FLORIDA, LLC, a resident LLC, Defendant.

22 Fla. L. Weekly Supp. 103b

Online Reference: FLWSUPP 2201FALCInsurance -- Personal injury protection -- Coverage -- Owner of motor vehicle injured while driving leased vehicle -- Where plaintiff was co-owner of vehicle covered by PIP policy, but was not named insured or relative of named insured, and plaintiff was injured while driving leased vehicle, plaintiff was excluded from coverage under his PIP policy by operation of section 627.736(1) and policy provisions -- Defendant, self-insured car leasing company, is required to extend PIP coverage to plaintiff

Continue ReadingMARIA PREVEZ-FALCON Plaintiff, v. ENTERPRISE LEASING COMPANY OF FLORIDA, LLC, a resident LLC, Defendant.
  • Post category:Volume 22

PEMBROKE PINES, MRI, INC., a/a/o Brian Schoedinger, Appellant/Plaintiff, vs. USAA CASUALTY INSURANCE COMPANY, Appellee/Defendant.

22 Fla. L. Weekly Supp. 676a

Online Reference: FLWSUPP 2206SCHOInsurance -- Personal injury protection -- Notice of loss -- Disclosure and acknowledgment form -- Trial court erred in entering summary judgment in favor of insurer on D&A form defense -- Submission of form is not condition precedent to payment of PIP benefits -- Exhaustion of policy limits -- Insurer's reliance on then-existing legal authority regarding D&A form requirement to deny claim, which ultimately resulted in exhaustion of benefits, cannot be considered bad faith

Continue ReadingPEMBROKE PINES, MRI, INC., a/a/o Brian Schoedinger, Appellant/Plaintiff, vs. USAA CASUALTY INSURANCE COMPANY, Appellee/Defendant.
  • Post category:Volume 22

MRI ASSOCIATES OF PALM HARBOR, INC. D/B/A PALM HARBOR MRI, a Florida Corp. (a/a/o Durava, Dennis), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1065b

Online Reference: FLWSUPP 2209DURAInsurance -- Personal injury protection -- Voluntary dismissal entered by mistake is vacated

Continue ReadingMRI ASSOCIATES OF PALM HARBOR, INC. D/B/A PALM HARBOR MRI, a Florida Corp. (a/a/o Durava, Dennis), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

TYLER AVERDICK and TERRY AVERDICK, individuals, Plaintiffs, vs. SECURITY FIRST INSURANCE COMPANY, a Florida corporation, Defendant.

22 Fla. L. Weekly Supp. 1020a

Online Reference: FLWSUPP 2209AVERInsurance -- Homeowners -- Coverage -- Wood rot damage -- Summary judgment -- Affidavit filed by homeowners in opposition to summary judgment is stricken as untimely where affidavit was filed after 5 pm on Friday before Monday hearing -- Outline of coverage listing alternative available coverage that would increase $10,000 coverage limit for wood rot damage to $50,000 does not create ambiguity regarding coverage limit where outline is not part of policy and section 627.4143 provides that outline is not admissible in civil actions -- Even if court were to consider outline as part of policy, there is no ambiguity as to whether additional wood rot coverage existed -- Summary judgment is entered in favor of insurer

Continue ReadingTYLER AVERDICK and TERRY AVERDICK, individuals, Plaintiffs, vs. SECURITY FIRST INSURANCE COMPANY, a Florida corporation, Defendant.
  • Post category:Volume 22

RONALD JUVONEN, et al., Plaintiffs, v. UNITED PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1155a

Online Reference: FLWSUPP 2210JUVOInsurance -- Homeowners -- Class action lawsuit alleging insurer breached homeowners' policies by withholding payment of general contractor's overhead and profit when paying claims for damaged homes -- Motion for class certification is denied -- Putative class of insureds who were reasonably likely to incur GCOP as part of their damages and who have not received GCOP payment or released insurer from any claims fails to satisfy numerosity requirement where there is insufficient evidence before trial court to establish number of members of putative class, class members are not identifiable from insurer's data, and plaintiffs' class definition would result in class that contains wholly indeterminate number of uninjured class members -- Requirements of commonality and adequacy are satisfied -- Typicality requirement is not met where plaintiffs presented evidence regarding only two class members' claims, and those claims are factually distinct from each other -- Predominance and superiority requirements are not met where determination of whether it is reasonably likely general contractor would be needed for repairs would require individual examination of each plaintiff's situation -- Plaintiffs' proposal to employ standard that use of general contractor is per se reasonably likely when repairs require more than one trade is rejected

Continue ReadingRONALD JUVONEN, et al., Plaintiffs, v. UNITED PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RESTORATION 1 OF THE TREASURE COAST a/a/o JAY DAWLEY, Appellant, v. FIRST PROTECTIVE INSURANCE COMPANY d/b/a FRONTLINE HOMEOWNERS INSURANCE, Appellee.

22 Fla. L. Weekly Supp. 81b

Online Reference: FLWSUPP 2201DAWLInsurance -- Homeowners -- Trial court erred in dismissing complaint brought against insurer by company that repaired water damage to insured's home on grounds that assignment was made without insurer's consent and that repair company failed to join insured as indispensable party where resolution of those issues required consideration of insurance policy not attached to complaint and were, thus, beyond four corners of complaint -- Trial court's dismissal of complaint is affirmed under “tipsy coachman doctrine” where trial court should have dismissed complaint with leave to amend due to failure to attach policy, but repair company invited error by repeatedly declining offer to amend and insisting on final order granting motion to dismiss

Continue ReadingRESTORATION 1 OF THE TREASURE COAST a/a/o JAY DAWLEY, Appellant, v. FIRST PROTECTIVE INSURANCE COMPANY d/b/a FRONTLINE HOMEOWNERS INSURANCE, Appellee.
  • Post category:Volume 22

SILVERLAND MEDICAL CENTER, a/a/o ELADIO MARTINEZ, a/a/o JULIO MARTINEZ, a/a/o MARIELA DIAZ, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Defendant.

22 Fla. L. Weekly Supp. 376a

Online Reference: FLWSUPP 2203SILVInsurance -- Personal injury protection -- Coverage -- Where husband and wife claimants purchased vehicle intended for their sole use and possession and paid for insurance on vehicle, and named insured on vehicle policy had no involvement with vehicle other than co-signing for purchase, claimants could be entitled to statutory coverage under policy as beneficial owners of vehicle even though they were not named insureds on policy -- Statutory coverage may extend to son as resident relative of beneficial owners -- Where policy exclusion improperly limits coverage to named insured, court is obligated to construe policy as if it fully complies with statutory coverage requirements -- Insurer is not entitled to summary judgment on coverage issue

Continue ReadingSILVERLAND MEDICAL CENTER, a/a/o ELADIO MARTINEZ, a/a/o JULIO MARTINEZ, a/a/o MARIELA DIAZ, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Defendant.
  • Post category:Volume 22

YESSENIA CARRERAS and ALBERTO CARRERAS, JR., Plaintiffs, vs. FEDERATED NATIONAL INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 259a

Online Reference: FLWSUPP 2202CARRInsurance -- Homeowners -- Marring -- Wine bottle dropped on tile floor causing tiles to chip or crack constitutes superficial marring damage excluded from coverage under marring exclusion of homeowners' all-risk policy

Continue ReadingYESSENIA CARRERAS and ALBERTO CARRERAS, JR., Plaintiffs, vs. FEDERATED NATIONAL INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

YESSENIA CARRERAS and ALBERTO CARRERAS, JR., Plaintiffs, vs. FEDERATED NATIONAL INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 259a

Online Reference: FLWSUPP 2202CARRInsurance -- Homeowners -- Marring -- Wine bottle dropped on tile floor causing tiles to chip or crack constitutes superficial marring damage excluded from coverage under marring exclusion of homeowners' all-risk policy

Continue ReadingYESSENIA CARRERAS and ALBERTO CARRERAS, JR., Plaintiffs, vs. FEDERATED NATIONAL INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of MICHAELA SASS, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 935a

Online Reference: FLWSUPP 2208SASSInsurance -- Personal injury protection -- Evidence -- Judicial notice -- 2007 Medicare Part B Participating Physician Fee Schedule

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of MICHAELA SASS, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

DOUGLAS PRICE, P.A., D/B/A FLORIDA PAIN, TRAUMA, & INJURY CLINIC, as assignee of Nehemie Chery, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1094b

Online Reference: FLWSUPP 2209CHERInsurance -- Notice of voluntary dismissal filed after defendant filed confession of judgment is legal nullity and is stricken

Continue ReadingDOUGLAS PRICE, P.A., D/B/A FLORIDA PAIN, TRAUMA, & INJURY CLINIC, as assignee of Nehemie Chery, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ALLSTAR ANIMAL REMOVAL INC., a/a/o JEFFREY KUSHNER, Appellant, v. STATE FARM FLORIDA INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 1016b

Online Reference: FLWSUPP 2209KUSHInsurance -- Dismissal -- Error to consider matters beyond four corners of complaint when ruling on motion to dismiss -- Attorney's fees awarded to prevailing appellant

Continue ReadingALLSTAR ANIMAL REMOVAL INC., a/a/o JEFFREY KUSHNER, Appellant, v. STATE FARM FLORIDA INSURANCE COMPANY, Appellee.
  • Post category:Volume 22

A-1 MEDICAL, INC., as assignee of Normar Labrador, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, INC., Defendant(s).

22 Fla. L. Weekly Supp. 1172b

Online Reference: FLWSUPP 2210LABRInsurance -- Dismissal -- Where medical provider failed to comply with order to provide more definite statement, failed to appear for deposition, and failed to respond to discovery, and delay has prejudiced insurer, motion to dismiss and motion for sanctions are granted

Continue ReadingA-1 MEDICAL, INC., as assignee of Normar Labrador, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, INC., Defendant(s).
  • Post category:Volume 22

RICKY P. LOCKETT, D.O., P.A., AAO MELMORINE FRANCIS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INS. CO., Defendant.

22 Fla. L. Weekly Supp. 458a

Online Reference: FLWSUPP 2204FRANInsurance -- Personal injury protection -- Standing -- Assignment -- Validity -- Document that authorizes medical provider to prosecute action is valid assignment of benefits -- Failure to include names of provider and insurer on assignment creates issue of fact precluding summary judgment

Continue ReadingRICKY P. LOCKETT, D.O., P.A., AAO MELMORINE FRANCIS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INS. CO., Defendant.
  • Post category:Volume 22

FLORIDA WELLNESS & REHABILITATION CENTER OF LITTLE HAVANA, LLC., A/A/O OSCAR M. YGLESIAS, Plaintiff(s), vs. IMPERIAL FIRE & CASUALTY INSURANCE COMPANY, Defendant(s)

22 Fla. L. Weekly Supp. 947a

Online Reference: FLWSUPP 2208YGLEInsurance -- Discovery -- Documents -- Work product privilege -- Examination under oath

Continue ReadingFLORIDA WELLNESS & REHABILITATION CENTER OF LITTLE HAVANA, LLC., A/A/O OSCAR M. YGLESIAS, Plaintiff(s), vs. IMPERIAL FIRE & CASUALTY INSURANCE COMPANY, Defendant(s)
  • Post category:Volume 22

MERCURY INSURANCE COMPANY, Petitioner, v. CITYSTAR REHAB CENTER, a/a/o Jose Infante, Respondent.

22 Fla. L. Weekly Supp. 878a

Online Reference: FLWSUPP 2208INFAInsurance -- Personal injury protection -- Discovery -- Documents -- Work-product privilege -- Claims file -- Trial court departed from essential requirements of law by requiring insurer to produce documents from claims file where coverage and damages were at issue

Continue ReadingMERCURY INSURANCE COMPANY, Petitioner, v. CITYSTAR REHAB CENTER, a/a/o Jose Infante, Respondent.
  • Post category:Volume 22

PROGRESSIVE AMERICAN INSURANCE COMPANY, Petitioner, vs. ANGELS DIAGNOSTIC GROUP, INC., A/A/O PARIS HERENCIA, Respondent.

22 Fla. L. Weekly Supp. 46a

Online Reference: FLWSUPP 2111HEREInsurance -- Personal injury protection -- Discovery -- Adjuster's notes -- Error to compel production of adjuster's notes prepared prior to receipt of demand letter without conducting in camera inspection of notes

Continue ReadingPROGRESSIVE AMERICAN INSURANCE COMPANY, Petitioner, vs. ANGELS DIAGNOSTIC GROUP, INC., A/A/O PARIS HERENCIA, Respondent.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. AUGUSTA PEREZ, Respondent.

22 Fla. L. Weekly Supp. 423a

Online Reference: FLWSUPP 2204PEREInsurance -- Personal injury protection -- Discovery -- Adjuster notes -- Trial court departed from essential requirements of law by compelling production of adjuster notes in PIP action that did not involve allegations of bad faith and in which amount of damages was at issue

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. AUGUSTA PEREZ, Respondent.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Victor Alvarez, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.

22 Fla. L. Weekly Supp. 184b

Online Reference: FLWSUPP 2202ALVAInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Trade secret privilege -- Although trial court made implicit findings as to whether trade secret privilege was applicable when crafting confidentiality limitations in order requiring disclosure of reimbursements amounts paid to medical provider by other insurers, clear findings are required

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Victor Alvarez, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.
  • Post category:Volume 22

HOLLYWOOD DIAGNOSTICS CENTER a/a/o ELMA J. BURGESS, Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.

22 Fla. L. Weekly Supp. 515c

Online Reference: FLWSUPP 2205BURGInsurance -- Discovery -- Documents -- Settlement documents necessary to determine if final judgment in settled case constitutes res judicata in present case -- Fact that settlement documents are public records or could be obtained from other party to agreement does not relieve insurer from producing documents in its possession, custody, or control

Continue ReadingHOLLYWOOD DIAGNOSTICS CENTER a/a/o ELMA J. BURGESS, Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. YESENIA ROMERO, Respondent.

22 Fla. L. Weekly Supp. 674a

Online Reference: FLWSUPP 2206ROMEInsurance -- Personal injury protection -- Discovery -- Privilege -- Work product -- Pre-litigation adjuster notes in insurer's claims file are not discoverable in first-party coverage and damages lawsuit between medical provider and insurer -- Trial court departed from essential requirements of law in compelling disclosure of notes

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. YESENIA ROMERO, Respondent.
  • Post category:Volume 22

STAND-UP MRI OF TALLAHASSEE, P.A., as assignee of Ashley Sendin, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1060b

Online Reference: FLWSUPP 2209SENDInsurance -- Personal injury protection -- Discovery -- Depositions -- Reasonableness of charges -- Where insurer elected to pay PIP benefits under permissive statutory fee schedule, reasonableness of charges is irrelevant -- Motion to compel deposition is denied

Continue ReadingSTAND-UP MRI OF TALLAHASSEE, P.A., as assignee of Ashley Sendin, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. ORTHO FLORIDA, LLL, Respondent.

22 Fla. L. Weekly Supp. 892a

Online Reference: FLWSUPP 2208ORTHInsurance -- Discovery -- Trade secret privilege -- Trial court erred in compelling disclosure of contract with medical provider's supplier without determining whether contract constituted trade secret and, if so, whether there was reasonable necessity for production

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. ORTHO FLORIDA, LLL, Respondent.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Dailer Zaldivar, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.

22 Fla. L. Weekly Supp. 742a

Online Reference: FLWSUPP 2206ZALDInsurance -- Personal injury protection -- Discovery -- Documents -- Trade secrets -- Although contracts between medical provider and HMO/PPO carriers are trade secrets, reimbursements amounts contained in contracts are not -- Provider is directed to reveal reimbursements amounts without identifying actual HMO/PPO carriers involved

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Dailer Zaldivar, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Soraya Cedeno, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.

22 Fla. L. Weekly Supp. 741b

Online Reference: FLWSUPP 2206CEDEInsurance -- Personal injury protection -- Discovery -- Trade secrets -- Although contracts between medical provider and HMO/PPO carriers are trade secrets, reimbursement amounts contained in contracts are not -- Provider is directed to reveal reimbursements amounts without identifying actual HMO/PPO carriers involved

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Soraya Cedeno, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Marlene Portalatin, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.

22 Fla. L. Weekly Supp. 884a

Online Reference: FLWSUPP 2208PORTInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Trade secrets -- Although trial court order requiring medical provider to reveal payment amounts it received from insurance companies and uninsured patients for CPT codes at issue allowed provider to maintain anonymity of insurance companies, court erred in failing to include clear legal conclusion that amounts and identities of payors constituted trade secrets

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Marlene Portalatin, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.
  • Post category:Volume 22

BAYFRONT MEDICAL CENTER, INC. a Florida corporation (assignee of Volpe, Salvatore), Plaintiff(s), vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant(s).

22 Fla. L. Weekly Supp. 278a

Online Reference: FLWSUPP 2202VOLPInsurance -- Personal injury protection -- Discovery -- Documents -- To protect irrelevant proprietary information on otherwise discoverable rate sheets of private payors, medical provider is directed to prepare matrix reflecting identity of contracting parties, dates covered by agreements and rate sheets, nature and type of insurance reimbursement, and type of service being billed for CPT codes at issue in case and rates for each service

Continue ReadingBAYFRONT MEDICAL CENTER, INC. a Florida corporation (assignee of Volpe, Salvatore), Plaintiff(s), vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant(s).
  • Post category:Volume 22

PAN AM DIAGNOSTIC, INC. (GWENDOLINE JOHNSON), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 745c

Online Reference: FLWSUPP 2206GJOHInsurance -- Personal injury protection -- Discovery -- HMO and PPO contracts between medical provider and other insurers are confidential, trade secret, and proprietary documents that are not discoverable and cannot reasonably lead to discoverable evidence -- Medicare fee rates are not relevant to determination of reasonableness of charges in PIP case -- Request to produce “letters of protection” inquires into issues not raised in pleadings and is, therefore, not relevant to litigation

Continue ReadingPAN AM DIAGNOSTIC, INC. (GWENDOLINE JOHNSON), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Melissa Hernandez, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.

22 Fla. L. Weekly Supp. 741c

Online Reference: FLWSUPP 2206HERNInsurance -- Personal injury protection -- Discovery -- Documents -- Trade secrets -- Although contracts between medical provider and HMO/PPO carriers are trade secrets, reimbursements amounts contained in contracts are not -- Provider is directed to reveal reimbursements amounts without identifying actual HMO/PPO carriers involved

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Melissa Hernandez, Plaintiff, vs. UNITED AUTOMOBILE INS. CO., Defendant.
  • Post category:Volume 22

GABLES MRA, INC., (a/a/o Teresa Morales), Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 740a

Online Reference: FLWSUPP 2206TMORInsurance -- Personal injury protection -- Discovery -- Depositions -- HMO and PPO contracts between medical provider and other insurers are confidential and proprietary information, and neither contracts nor testimony about their contents is discoverable

Continue ReadingGABLES MRA, INC., (a/a/o Teresa Morales), Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PHYSICIANS MEDICAL CENTER JAX, INC. A/A/O JANICE PRIMIANO, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 706a

Online Reference: FLWSUPP 2206PRIMInsurance -- Personal injury protection -- Discovery -- Contracts and agreements relating to reimbursement of medical provider by HMO, PPO and private insurance carriers and reimbursement rates accepted by provider from Medicaid and Medicare are not discoverable in PIP action -- Reimbursement rates accepted from other PIP carriers and from third-party payors with which provider does not have negotiated rate contracts are discoverable

Continue ReadingPHYSICIANS MEDICAL CENTER JAX, INC. A/A/O JANICE PRIMIANO, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MICHAEL J. COHEN, D.C., P.A. d/b/a NOB HILL FAMILY CHIROPRACTIC CLINIC, A FLORIDA CORPORATION a/a/o MICHAEL SCHOTT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 745b

Online Reference: FLWSUPP 2206COHEInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Medical provider is not required to disclose reimbursement rates accepted from health insurers, workers' compensation, Medicaid, Medicare, and cash-paying patients -- Provider is required to disclose whether it accepted an amount from other Florida no fault insurers for CPT codes at issue that is less than amount paid by insurer

Continue ReadingMICHAEL J. COHEN, D.C., P.A. d/b/a NOB HILL FAMILY CHIROPRACTIC CLINIC, A FLORIDA CORPORATION a/a/o MICHAEL SCHOTT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A., d/b/a EMAS SPINE & BRAIN, a/a/o CHARLENE WHITNEY (“Neurology Partners”), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY (“State Farm”), Defendant.

22 Fla. L. Weekly Supp. 362a

Online Reference: FLWSUPP 2203WHITInsurance -- Personal injury protection -- Discovery -- Documents -- Contracts between medical provider and any other insurer, third-party administrator, employer, workers' compensation provider, or governmental agency are not discoverable -- Documents evidencing amount of gross revenue provider received from PIP and medical payment insurers are not discoverable -- Provider is required to produce document evidencing cost of break-even point for CPT codes at issue, if such document exists -- Interrogatories -- Provider is required to state name and address of each insurance company with which it had relationship, contractual or otherwise, in 2008-2010

Continue ReadingNEUROLOGY PARTNERS, P.A., d/b/a EMAS SPINE & BRAIN, a/a/o CHARLENE WHITNEY (“Neurology Partners”), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY (“State Farm”), Defendant.
  • Post category:Volume 22

MICHAEL J. COHEN, D.C., P.A. d/b/a NOB HILL FAMILY CHIROPRACTIC CLINIC, A FLORIDA CORPORATION a/a/o MICHAEL SCHOTT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 745a

Online Reference: FLWSUPP 2206MSCHInsurance -- Personal injury protection -- Discovery -- Reimbursement rates accepted by medical provider from health insurers, workers' compensation insurer, Medicaid, Medicare, and cash-paying patients are not discoverable -- Provider's billing policies and fee schedules pertaining to Florida no-fault insurers for CPT codes at issue and documents pertaining to payments made by Florida no-fault insurers for CPT codes at issue are discoverable

Continue ReadingMICHAEL J. COHEN, D.C., P.A. d/b/a NOB HILL FAMILY CHIROPRACTIC CLINIC, A FLORIDA CORPORATION a/a/o MICHAEL SCHOTT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

POMPANO BEACH PAIN & REHABILITATION, INC. (Felix Guzman), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 375a

Online Reference: FLWSUPP 2203GUZMInsurance -- Personal injury protection -- Discovery -- Documents -- Medical provider's HMO, PPO and managed care agreements, and any agreements to sell, transfer, assign or otherwise factor provider's financial receivables are covered by trade secret privilege and are not discoverable -- Medicare payments and reports, as well as deductibles and co-payments collected from other patients, are irrelevant and immaterial to determination of reasonableness of charges

Continue ReadingPOMPANO BEACH PAIN & REHABILITATION, INC. (Felix Guzman), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

THEODORE P. VLAHOS, INC. D/B/A CENTER FOR ORTHOPAEDIC INJURIES & DISORDERS A/A/O LAURA ELFVENGREN, Plaintiff, vs. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 110a

Online Reference: FLWSUPP 2201VLAHInsurance -- Discovery -- Independent medical examination -- Medical provider is entitled to discovery of certain records of non-party IME vendor

Continue ReadingTHEODORE P. VLAHOS, INC. D/B/A CENTER FOR ORTHOPAEDIC INJURIES & DISORDERS A/A/O LAURA ELFVENGREN, Plaintiff, vs. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

SACRED HEART HOSPITAL ON THE EMERALD COAST GUILD, INC., a Florida Corp. (assignee of Lane, Dara), Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 454a

Online Reference: FLWSUPP 2204LANEInsurance -- Personal injury protection -- Discovery -- Non-parties -- Non-party hospitals' rates of reimbursement from health insurance are confidential and protected as trade secrets, and insurer has not shown necessity for information so as to overcome those protections -- Discovery is allowed as to non-party hospitals' customary charges billed for CPT codes and prescription drugs at issue and reimbursement amounts accepted from Medicare, Medicaid, uninsured and self-pay patients, and other PIP insurers for those CPT codes and drugs

Continue ReadingSACRED HEART HOSPITAL ON THE EMERALD COAST GUILD, INC., a Florida Corp. (assignee of Lane, Dara), Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STAND-UP MRI OF TALLAHASSEE, P.A., a/a/o/ JILL MIKKELSON, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1060a

Online Reference: FLWSUPP 2209MIKKInsurance -- Med Pay -- Discovery -- Depositions -- Reasonableness of charges -- Once insurer elected to pay Med Pay benefits under permissive statutory fee schedule, reasonableness of charges became irrelevant -- Motion to compel deposition regarding reasonableness of charges is denied

Continue ReadingSTAND-UP MRI OF TALLAHASSEE, P.A., a/a/o/ JILL MIKKELSON, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STAND-UP MRI OF TALLAHASSEE, P.A., As assignee of Jill Mikkelson, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE, INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1059a

Online Reference: FLWSUPP 2209JMIKInsurance -- Personal injury protection -- Med Pay -- Discovery -- Reasonableness of charges -- Once insurer elected to pay PIP and Med Pay benefits under permissive statutory fee schedule, reasonableness of charges became irrelevant -- Motion to compel responses to discovery regarding reasonableness of charges is denied

Continue ReadingSTAND-UP MRI OF TALLAHASSEE, P.A., As assignee of Jill Mikkelson, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE, INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC. DANIEL LOPEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 465b

Online Reference: FLWSUPP 2204LOPEInsurance -- Personal injury protection -- Discovery -- Where reasonableness of charges is contested, reimbursement rates accepted by medical provider from other carriers for CPT codes at issue are relevant and discoverable -- Discovery of negotiated reimbursement rates without disclosure of identity of contracting carrier will not violate privileges of trade secret or confidentiality

Continue ReadingVIRTUAL IMAGING SERVICES, INC. DANIEL LOPEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES INC., a/a/o Mayra Valdez De La Rosa Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY Respondent

22 Fla. L. Weekly Supp. 429a

Online Reference: FLWSUPP 2204MVALInsurance -- Personal injury protection -- Discovery -- Medical provider -- Trade secrets -- Trial court departed from essential requirements of law by requiring provider to produce reimbursement rates from other insurers and payors for particular billing code without making findings as to whether requested production constituted trade secrets and, if so, whether party seeking production had shown reasonable necessity for requested materials

Continue ReadingVIRTUAL IMAGING SERVICES INC., a/a/o Mayra Valdez De La Rosa Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY Respondent
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC. a/a/o Dienil Camejo, Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.

22 Fla. L. Weekly Supp. 1144a

Online Reference: FLWSUPP 2210CAMEInsurance -- Personal injury protection -- Coverage -- Medical benefits -- Reasonableness of charges -- Discovery -- Trade secrets -- Error to require medical provider to disclose reimbursement rate information for other insurers without conducting in camera inspection to make required determination whether requested information constituted trade secrets

Continue ReadingVIRTUAL IMAGING SERVICES, INC. a/a/o Dienil Camejo, Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC. a/a/o RAUL FIGUERORA, Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.

22 Fla. L. Weekly Supp. 421a

Online Reference: FLWSUPP 2204RFIGInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Trade secret privilege -- Error to overrule trade secret privilege objection to interrogatory requiring disclosure of reimbursement rates medical provider accepts from other insurers without conducting in camera inspection -- Moreover, where insurance contract provides that insurer will pay “80% of all medically necessary expenses” without imposing reasonableness requirement, inquiry into reasonableness of charges does not seem necessary

Continue ReadingVIRTUAL IMAGING SERVICES, INC. a/a/o RAUL FIGUERORA, Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.
  • Post category:Volume 22

PHYSICIAN’S MEDICAL CENTER JAX, INC. A/A/O DEBRA ROYAL, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 456a

Online Reference: FLWSUPP 2204ROYAInsurance -- Personal injury protection -- Discovery -- Insurer is not entitled to discover documents reflecting amounts accepted by medical provider as reimbursement for Medicare and Medicaid from third-party payers with which provider has negotiated rate contracts -- Insurer is entitled to discover reimbursement amounts accepted by provider from other PIP carriers and third-party payers with which provider does not have contracts

Continue ReadingPHYSICIAN’S MEDICAL CENTER JAX, INC. A/A/O DEBRA ROYAL, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

ORANGE PARK CHIROPRACTIC CENTER A/A/O VICTOR DUPREE, Plaintiff, v. SOUTHERN-OWNERS INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1163a

Online Reference: FLWSUPP 2210DUPRInsurance -- Personal injury protection -- Discovery -- Insurer is not entitled to discover documents reflecting amounts accepted by medical provider as reimbursement from other insurance carriers pursuant to negotiated rate contracts -- Insurer is not entitled to discovery regarding reimbursement accepted by provider from Medicare and Medicaid -- Insurer is entitled to discover reimbursement amounts accepted by provider from other PIP carriers, insurance carriers with which provider does not have negotiated rate contracts and cash-paying patients

Continue ReadingORANGE PARK CHIROPRACTIC CENTER A/A/O VICTOR DUPREE, Plaintiff, v. SOUTHERN-OWNERS INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Marline Rios, Petitioner, vs. UNITED AUTOMOBILE INSURANCE CO., Respondent.

22 Fla. L. Weekly Supp. 1145a

Online Reference: FLWSUPP 2210RIOSInsurance -- Discovery -- Trade secrets -- Trial court departed from essential requirements of law by ordering medical provider to disclose reimbursement rates without conducting in camera inspection and determining whether discovery request will result in disclosure of trade secrets or confidential information and, if so, whether insurer demonstrated reasonable necessity for information and whether safeguards are required to prevent unnecessary dissemination of trade secrets or confidential information

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Marline Rios, Petitioner, vs. UNITED AUTOMOBILE INSURANCE CO., Respondent.
  • Post category:Volume 22

PELAYO MEDICAL CENTER, INC., (a/a/o Jose Guevara Dominguez), Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.

22 Fla. L. Weekly Supp. 1144b

Online Reference: FLWSUPP 2210CENTInsurance -- Discovery -- Trade secrets -- Trial court departed from essential requirements of law by ordering medical provider to disclose reimbursement rates without conducting in camera inspection and determining whether discovery request will result in disclosure of trade secrets or confidential information and, if so, whether insurer demonstrated reasonable necessity for information and whether safeguards are required to prevent unnecessary dissemination of trade secrets or confidential information

Continue ReadingPELAYO MEDICAL CENTER, INC., (a/a/o Jose Guevara Dominguez), Petitioner, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., Petitioner, vs. UNITED AUTOMOBILE INS. CO., Respondent.

22 Fla. L. Weekly Supp. 1117a

Online Reference: FLWSUPP 2210VIRTInsurance -- Discovery -- Interrogatories -- Trade secrets -- Prior opinions of appellate panels of circuit court, determining that trial courts erred in requiring medical provider to produce reimbursement rates it agreed to accept from other insurers without first determining whether information sought was trade secret, are not binding on appellate panel in instant case -- Parties in cases are not identical due to involvement of different insureds/assignors -- Trial court erred in requiring disclosure of reimbursement rates without making findings as to whether information is trade secret and whether insurer established reasonable necessity for information

Continue ReadingVIRTUAL IMAGING SERVICES, INC., Petitioner, vs. UNITED AUTOMOBILE INS. CO., Respondent.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., (a/a/o Luis Zeledon), Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida Corporation, Respondent.

22 Fla. L. Weekly Supp. 1116a

Online Reference: FLWSUPP 2210ZELEInsurance -- Personal injury protection -- Discovery -- Trade secrets -- Trial court erred in requiring medical provider to disclose reimbursement amounts provider received from other insurance carriers and uninsured patients without first conducting in camera inspection of materials to determine if they contain trade secrets

Continue ReadingVIRTUAL IMAGING SERVICES, INC., (a/a/o Luis Zeledon), Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, a Florida Corporation, Respondent.
  • Post category:Volume 22

FLORIDA HOSPITAL MEDICAL CENTER, as assignee of Angela Mincy, Plaintiff, vs. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1079a

Online Reference: FLWSUPP 2209MINCInsurance -- Personal injury protection -- Discovery -- Depositions -- Medical provider's corporate representative will testify at deposition regarding payments received from other payors for CPT codes at issue, and documents covering such payments are to be produced

Continue ReadingFLORIDA HOSPITAL MEDICAL CENTER, as assignee of Angela Mincy, Plaintiff, vs. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.
  • Post category:Volume 22

MELBOURNE HMA, LLC d/b/a WUESTHOFF MEDICAL CENTER-MELBOURNE, a Florida corporation (a/a/o Lipgens, Paula), Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 859a

Online Reference: FLWSUPP 2207LIPGInsurance -- Personal injury protection -- Discovery -- Insurer is not entitled to discover documents reflecting amounts accepted by medical provider as reimbursement from self-pay patients, workers' compensation carriers, Medicare and Medicaid and from other private health insurers with which provider has negotiated rate contracts -- Insurer is entitled to discover reimbursement amounts accepted by provider from other PIP carriers

Continue ReadingMELBOURNE HMA, LLC d/b/a WUESTHOFF MEDICAL CENTER-MELBOURNE, a Florida corporation (a/a/o Lipgens, Paula), Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA HOSPITAL MEDICAL CENTER, as assignee of John Stewart, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1164b

Online Reference: FLWSUPP 2210STEWInsurance -- Personal injury protection -- Discovery -- Where insurer unilaterally, albeit improperly, elected to use permissive statutory fee schedule to calculate reimbursement rate, neither insurer nor medical provider may compel discovery on fact-dependent method for determining reasonableness of charges

Continue ReadingFLORIDA HOSPITAL MEDICAL CENTER, as assignee of John Stewart, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA LLC., d/b/a PHYSICIANS REGIONAL MEDICAL CENTER-PINE RIDGE, A FLORIDA CORPORATION a/a/o ODER CAPELLAN, Plaintiff, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 970a

Online Reference: FLWSUPP 2208CAPEInsurance -- Discovery -- Medical provider is not required to produce agreements reflecting amounts charged to and accepted from other payors or documents reflecting payment of amount less than the amount billed to insurer for CPT codes at issue -- Provider is required to produce Medicare Cost Report and documents supporting proposition that its charges are reasonable and do not exceed its usual and customary charges

Continue ReadingNAPLES HMA LLC., d/b/a PHYSICIANS REGIONAL MEDICAL CENTER-PINE RIDGE, A FLORIDA CORPORATION a/a/o ODER CAPELLAN, Plaintiff, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.
  • Post category:Volume 22

GABLES MRA, a/a/o MARVIN HERNANDEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendant.

22 Fla. L. Weekly Supp. 949a

Online Reference: FLWSUPP 2208HERNInsurance -- Personal injury protection -- Discovery -- Trade secrets -- HMO and PPO contracts are confidential, trade secret, proprietary documents that are not discoverable and cannot reasonably lead to discoverable information -- Evidence of payments made regarding other patients pursuant to non-automobile related coverages such as HMO, PPO and Medicare agreements are not discoverable and, further, cannot reasonably lead to discoverable information and, thus, are not relevant in a PIP case.

Continue ReadingGABLES MRA, a/a/o MARVIN HERNANDEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendant.
  • Post category:Volume 22

D. BADOLATO, P.A. d/b/a PREMIER URGENT CARE, as assignee of GWENDOLYN FLOYD, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 399a

Online Reference: FLWSUPP 2203FLOYInsurance -- Personal injury protection -- Discovery -- Other insurers from which plaintiff has accepted PIP benefits for same and/or similar treatment and amounts accepted from insurers for this treatment -- Scope of discovery

Continue ReadingD. BADOLATO, P.A. d/b/a PREMIER URGENT CARE, as assignee of GWENDOLYN FLOYD, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

AXIS CHIROPRACTIC & REHAB CENTER, INC., a Florida Corporation, assignee of McCurry, Joshua, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 955a

Online Reference: FLWSUPP 2208MCCUInsurance -- Discovery -- Insurer is entitled to discover documents reflecting amounts accepted by medical provider as reimbursement from HMOs, PPOs, private health insurers, private pay or any other payor -- Provider is not required to disclose whether amounts reimbursed were pursuant to negotiated contract or entity from which reimbursement was received

Continue ReadingAXIS CHIROPRACTIC & REHAB CENTER, INC., a Florida Corporation, assignee of McCurry, Joshua, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

DENNIS M. KURYLIW, D.C., A PROFESSIONAL ASSOCIATION, a Florida Corporation (assignee of Riffle, Ona), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 933a

Online Reference: FLWSUPP 2208RIFFInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonableness -- Discovery -- Documents and information relating to provider's reimbursement contracts and amounts provider has agreed to accept and has accepted for the CPT codes at issue in instant case

Continue ReadingDENNIS M. KURYLIW, D.C., A PROFESSIONAL ASSOCIATION, a Florida Corporation (assignee of Riffle, Ona), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MEDPAPER, LLC A/A/O Al IMAGING CENTERS, LLC (A/A/O SYLVIA BLACKSHIRE), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 155a

Online Reference: FLWSUPP 2201BLACInsurance -- Personal injury protection -- Discovery -- Because medical provider's negotiated insurance and reimbursement contracts and reimbursement data are necessary to dispute reasonableness of provider's charges, provider's trade secret objections do not bar discovery so long as court take measures to ensure confidentiality -- Confidentiality measures are specified

Continue ReadingMEDPAPER, LLC A/A/O Al IMAGING CENTERS, LLC (A/A/O SYLVIA BLACKSHIRE), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PHYSICIANS MEDICAL CENTER, INC., A/A/O ROSEMARIE HEINE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1063a

Online Reference: FLWSUPP 2209HEINInsurance -- Personal injury protection -- Discovery -- Negotiated rate contracts between medical provider and HMOs, PPOs and other private insurance carriers are confidential, trade secret, proprietary documents that are not discoverable and cannot reasonably lead to discoverable evidence -- Reimbursements accepted by provider from other PIP carriers are relevant and discoverable -- Medicare reimbursement rates are not relevant in PIP case in which reasonableness of charges is at issue

Continue ReadingPHYSICIANS MEDICAL CENTER, INC., A/A/O ROSEMARIE HEINE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC. a/a/o TRYTINIA SMOKES, Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, A Florida Corporation, Respondent.

22 Fla. L. Weekly Supp. 882a

Online Reference: FLWSUPP 2208SMOKInsurance -- Personal injury protection -- Discovery -- Trade secrets -- Medical provider's managed care contracts and information contained therein are proprietary in nature and can be defined as trade secrets -- Trial court departed from essential requirements of law in ordering provider to disclose reimbursement amounts paid pursuant to managed care contracts, identifying insurance carriers only by number and type, without conducting in camera inspection to explicitly determine whether contracts and information contained therein should be classified as trade secrets, whether reimbursement amounts paid pursuant to contracts and amounts paid by uninsured persons should be classified as trade secrets, whether identities of carriers and uninsured persons should be classified as trade secrets, and whether trade secret privilege should apply to protect provider from having to disclose requested information

Continue ReadingVIRTUAL IMAGING SERVICES, INC. a/a/o TRYTINIA SMOKES, Petitioner, v. UNITED AUTOMOBILE INSURANCE COMPANY, A Florida Corporation, Respondent.
  • Post category:Volume 22

THE PERSONAL INJURY CLINIC (a/a/o ABDER NEYRA-SILVERIO), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 837b

Online Reference: FLWSUPP 2207NEYRInsurance -- Personal injury protection -- Discovery -- Documents -- HMO/PPO documents are not discoverable

Continue ReadingTHE PERSONAL INJURY CLINIC (a/a/o ABDER NEYRA-SILVERIO), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

TRI-COUNTY ACCIDENT CLINIC, LLC (SPENCER KERMISCH), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 644a

Online Reference: FLWSUPP 2205KERMInsurance -- Personal injury protection -- Discovery -- Documents -- HMO and PPO contracts between medical provider and other insurers are confidential, trade secret and proprietary documents that are not discoverable and cannot reasonably lead to discoverable evidence -- Medicare fee rates are not relevant to determination of reasonableness of charges in PIP case -- Requests to produce other documents inquire into issues not raised in pleadings and are, therefore, not relevant to litigation

Continue ReadingTRI-COUNTY ACCIDENT CLINIC, LLC (SPENCER KERMISCH), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIRTUAL IMAGING SERVICES, INC., a/a/o Ileana Fernandez, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.

22 Fla. L. Weekly Supp. 1000b

Online Reference: FLWSUPP 2209FERNInsurance -- Discovery -- Privilege -- Trade secrets -- Trial court departed from essential requirements of law in compelling medical provider to disclose information regarding HMO and PPO agreements without satisfying legal criteria for trade secret analysis

Continue ReadingVIRTUAL IMAGING SERVICES, INC., a/a/o Ileana Fernandez, Petitioner-Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Respondent-Defendant.
  • Post category:Volume 22

RADIOLOGY REGIONAL CENTER, P.A. a/a/o ELAINE SCHMIDT, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1175a

Online Reference: FLWSUPP 2210SCHMInsurance -- Personal injury protection -- Discovery -- Trade secrets -- Although contracts between medical provider and other insurance carriers are trade secrets not subject to discovery, negotiated reimbursement rates contained in contracts are not trade secrets -- Provider is ordered to produce matrix of rates that does not identify carriers or patients

Continue ReadingRADIOLOGY REGIONAL CENTER, P.A. a/a/o ELAINE SCHMIDT, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

SARASOTA MEMORIAL HEALTHCARE FOUNDATION, INC. (PATIENT: PETER MELEHAN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 130b

Online Reference: FLWSUPP 2201MELEInsurance -- Discovery -- Documents -- Medical provider is compelled to produce Medicare cost report and charge master as to accepted amounts of payment from various payors and matrix for accepted amounts of payment received on third-party contracts from various payors

Continue ReadingSARASOTA MEMORIAL HEALTHCARE FOUNDATION, INC. (PATIENT: PETER MELEHAN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RONALD J. TRAPANA, M.D., P.A., a Florida Corporation (a/a/o Mena, Laura), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 857a

Online Reference: FLWSUPP 2207MENAInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Use of medical billing software -- Scope of discovery

Continue ReadingRONALD J. TRAPANA, M.D., P.A., a Florida Corporation (a/a/o Mena, Laura), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

DR. ROBERT S. SCHWARTZ, P.A., a Florida Corporation (a/a/o Gilmore, Michael), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 854b

Online Reference: FLWSUPP 2207GILMInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Insurer's claims processing procedures and method of determining reasonableness of charges and reimbursement levels in community -- Scope of discovery

Continue ReadingDR. ROBERT S. SCHWARTZ, P.A., a Florida Corporation (a/a/o Gilmore, Michael), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

CENTRAL BROWARD THERAPY CENTER, INC., (a/a/o JONAS VERTICIER), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 960a

Online Reference: FLWSUPP 2208VERTInsurance -- Discovery -- Documents -- Insurer is directed to produce every claim from medical providers in geozip for CPT codes at issue for six months surrounding dates of service or produce explanations of benefits generated for geozip in those months for CPT codes at issue

Continue ReadingCENTRAL BROWARD THERAPY CENTER, INC., (a/a/o JONAS VERTICIER), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STATE FARM MUTUAL AUTO INS., CO., Appellant/Petitioner, vs. COMPLETE CARE REHABILITATION, INC., Appellee/Respondent.

22 Fla. L. Weekly Supp. 518b

Online Reference: FLWSUPP 2205STATInsurance -- Personal injury protection -- Discovery -- Adjuster notes -- Error to order that adjuster notes be produced prior to resolution of coverage issue

Continue ReadingSTATE FARM MUTUAL AUTO INS., CO., Appellant/Petitioner, vs. COMPLETE CARE REHABILITATION, INC., Appellee/Respondent.
  • Post category:Volume 22

TAMPA FAMILY CHIROPRACTIC a/a/o Stephanie Roman, Plaintiff, vs. WINDHAVEN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 843a

Online Reference: FLWSUPP 2207ROMAInsurance -- Personal injury protection -- Discovery -- Failure to comply -- Contempt -- Sanctions -- Where insurer demonstrated gross negligence in disregarding three discovery orders, law firm has been previously sanctioned for violation of court orders, one-year delay in discovery has prejudiced medical provider, there is no reasonable credible justification for failure to comply with orders, and delay created significant problems of judicial administration, all defenses in insurer's answer are stricken, insurer is precluded from presenting any evidence in support of material misrepresentation defense that was subject of discovery requests, and monetary sanctions are imposed

Continue ReadingTAMPA FAMILY CHIROPRACTIC a/a/o Stephanie Roman, Plaintiff, vs. WINDHAVEN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RIVERVIEW FAMILY CHIROPRACTIC CENTER, P.A., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 469b

Online Reference: FLWSUPP 2204CHAPInsurance -- Personal injury protection -- Discovery -- Failure to comply -- Sanctions -- Medical provider that failed to provide better discovery responses ordered by court is found to be in contempt

Continue ReadingRIVERVIEW FAMILY CHIROPRACTIC CENTER, P.A., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RIVERVIEW FAMILY CHIROPRACTIC CENTER, P.A., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 469a

Online Reference: FLWSUPP 2204SCHAInsurance -- Personal injury protection -- Discovery -- Failure to comply -- Medical provider that has not complied with order requiring it to respond to request to produce is held in contempt and ordered to pay attorney's fees

Continue ReadingRIVERVIEW FAMILY CHIROPRACTIC CENTER, P.A., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

IMPERIAL FIRE AND CASUALTY INSURANCE COMPANY, Petitioner, v. FLORIDA SERVICES & SOLUTIONS CORPORATION a/a/o ANA DIAZ, Respondent

22 Fla. L. Weekly Supp. 786a

Online Reference: FLWSUPP 2207DIAZInsurance -- Personal injury protection -- Discovery -- Appeals -- Order denying insurer's request for production of insured's employment records does not merit certiorari review where insurer claims records are necessary to establish that accident may have been staged during time that elapsed between time of accident reported by insured and actual time of accident, but insurer's affirmative defenses and counterclaim plead material misrepresentations in application, not fraud from staged accident, and records are unlikely to lead to additional evidence of fraud by insured who has admitted to time discrepancy

Continue ReadingIMPERIAL FIRE AND CASUALTY INSURANCE COMPANY, Petitioner, v. FLORIDA SERVICES & SOLUTIONS CORPORATION a/a/o ANA DIAZ, Respondent
  • Post category:Volume 22

EMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Jessica Rettinger, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 369a

Online Reference: FLWSUPP 2203RETTInsurance -- Personal injury protection -- Discovery -- Any inquiry into whether plaintiff's bill for emergency services was related and medically necessary, or whether charge was reasonable, is irrelevant given deposition testimony by insurer's corporate representative indicating that plaintiff's treatment was reasonable, related, and medically necessary and that the sole reason bill was not paid was that it was applied to deductible, and insurer's actions in allowing the submitted bill in full and applying the full amount of the bill to the policy deductible -- Motions to compel depositions denied -- Plaintiff's motion for protective order granted

Continue ReadingEMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Jessica Rettinger, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

Y H IMAGING INC. a/a/o JOSE FERNANDEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1102b

Online Reference: FLWSUPP 2209JFERInsurance -- Discovery -- Electronically stored information -- Charges received by insurer for CPT codes at issue for services rendered in Miami-Dade County during two-month period

Continue ReadingY H IMAGING INC. a/a/o JOSE FERNANDEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

VIVAX-RAY MEDICAL DIAGNOSTIC CENTER, INC A/A/O JORGE LOZADA, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1102a

Online Reference: FLWSUPP 2209LOZAInsurance -- Discovery -- Electronically stored information -- Charges received by insurer for CPT codes at issue for services rendered in Miami-Dade County during two-month period

Continue ReadingVIVAX-RAY MEDICAL DIAGNOSTIC CENTER, INC A/A/O JORGE LOZADA, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. FLORIDA WELLNESS & REHABILITATION CENTER OF SOUTH MIAMI, LLC. a/a/o HILDA RODRIGUEZ, Respondent.

22 Fla. L. Weekly Supp. 1117b

Online Reference: FLWSUPP 2210RODRInsurance -- Discovery -- Claim file -- Error to require insurer to produce various documents from claim file in declaratory relief and breach of contract case not involving bad faith claim

Continue ReadingSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. FLORIDA WELLNESS & REHABILITATION CENTER OF SOUTH MIAMI, LLC. a/a/o HILDA RODRIGUEZ, Respondent.
  • Post category:Volume 22

STATE FARM MUTUAL AUTO INSURANCE COMPANY, Petitioner, vs. ROBERTO RIVERA-MORALES, M.D. (a/a/o FRANCKEL OCCEAN), Respondent.

22 Fla. L. Weekly Supp. 422a

Online Reference: FLWSUPP 2204OCCEInsurance -- Personal injury protection -- Discovery -- Claim file -- Adjuster notes -- Privilege -- Insurer failed to preserve for review its claim that documents it had been ordered to produce were privileged where insurer raised privilege in motion for rehearing of trial court's order finding that insurer waived right to object to request for production by failing to comply with original deadlines, but insurer abandoned the motion for rehearing by filing petition for writ of certiorari before trial court ruled on it -- Petition for writ of certiorari denied without prejudice to insurer's right to object to disclosure of entire claim file and to have file submitted to trial court for in camera inspection

Continue ReadingSTATE FARM MUTUAL AUTO INSURANCE COMPANY, Petitioner, vs. ROBERTO RIVERA-MORALES, M.D. (a/a/o FRANCKEL OCCEAN), Respondent.
  • Post category:Volume 22

WINDHAVEN INSURANCE COMPANY, Appellant, vs. ADVANCE CHIROPRACTIC & MEDICAL CENTER CORP., a/a/o Sheila Merezil, Appellee.

22 Fla. L. Weekly Supp. 1015e

Online Reference: FLWSUPP 2209WINDInsurance -- Discovery -- Requests for admission -- Belated answers -- Trial court did not abuse discretion in refusing to permit insurer to file belated answers to requests for admissions and in entering summary judgment for medical provider where insurer did not move for relief from technical admissions and leave to file belated answers until after hearing on provider's motion for summary judgment

Continue ReadingWINDHAVEN INSURANCE COMPANY, Appellant, vs. ADVANCE CHIROPRACTIC & MEDICAL CENTER CORP., a/a/o Sheila Merezil, Appellee.
  • Post category:Volume 22

CLEVELAND RADIOLOGY CENTER, A/A/O Orlanda Gonzalez, Plaintiff, vs. STATE FARM AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 656a

Online Reference: FLWSUPP 2205GONZInsurance -- Personal injury protection -- Discovery -- Depositions -- There is no legal basis for court to order sequence of depositions

Continue ReadingCLEVELAND RADIOLOGY CENTER, A/A/O Orlanda Gonzalez, Plaintiff, vs. STATE FARM AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

AXCESS DIAGNOSTICS, ETC., Plaintiff, v. STATE FARM MUTUAL, ETC., Defendant.

22 Fla. L. Weekly Supp. 1088d

Online Reference: FLWSUPP 2209DIAGInsurance -- Discovery -- Depositions -- Notice seeking depositions by naming witnesses and/or describing their position or function impermissibly commingled notice methods allowed by rule 1.310(a) for taking depositions of natural persons and rule 1.310(b)(6) for taking depositions of corporate representatives -- Depositions will be reset with representatives designated by insurer, not medical provider -- Provider may take deposition of any natural person without designating topics

Continue ReadingAXCESS DIAGNOSTICS, ETC., Plaintiff, v. STATE FARM MUTUAL, ETC., Defendant.
  • Post category:Volume 22

AXCESS DIAGNOSTICS, ETC., Plaintiff, v. STATE FARM MUTUAL, ETC., Defendant.

22 Fla. L. Weekly Supp. 1088c

Online Reference: FLWSUPP 2209AXCEInsurance -- Discovery -- Depositions -- Notice seeking depositions by naming witnesses and/or describing their position or function impermissibly commingled notice methods allowed by rule 1.310(a) for taking depositions of natural persons and rule 1.310(b)(6) for taking depositions of corporate representatives -- Depositions will be reset with representatives designated by insurer, not medical provider -- Provider may take deposition of any natural person without designating topics

Continue ReadingAXCESS DIAGNOSTICS, ETC., Plaintiff, v. STATE FARM MUTUAL, ETC., Defendant.
  • Post category:Volume 22

HEALTH DIAGNOSTICS OF MIAMI, LLC, d/b/a STAND-UP MRI OF MIAMI, a/a/o Tawana Dixon, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1097b

Online Reference: FLWSUPP 2209DIXOInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of deposition of medical provider's corporate representative is limited to areas of inquiry and questions not already asked and answered in deposition taken by different law firm representing insurer in separate action between same parties -- Areas of inquiry and documents to be produced at deposition are established

Continue ReadingHEALTH DIAGNOSTICS OF MIAMI, LLC, d/b/a STAND-UP MRI OF MIAMI, a/a/o Tawana Dixon, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA HOSPITAL MEDICAL CENTER, as assignee of Paul Comazzi, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 123b

Online Reference: FLWSUPP 2201COMAInsurance -- Personal injury protection -- Discovery -- Interrogatories -- Where insurer utilized permissive statutory fee schedule to calculate reimbursement rates, reasonableness of medical provider's charge is no longer at issue -- Objections to interrogatories seeking information as to reasonableness of charge are sustained

Continue ReadingFLORIDA HOSPITAL MEDICAL CENTER, as assignee of Paul Comazzi, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

GULFCOAST HEALTHCARE SYSTEMS, INC., as assignee of Jessica Rodriguez, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1111b

Online Reference: FLWSUPP 2209JRODInsurance -- Personal injury protection -- Discovery -- Reasonableness of charges -- Medical provider is ordered to disclose amount charged and received for CPT codes at issue during month service was rendered

Continue ReadingGULFCOAST HEALTHCARE SYSTEMS, INC., as assignee of Jessica Rodriguez, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

OPTIMUM REHABILITATION SPECIALISTS, INC., As assignee of Jessica Rodriguez, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 1111a

Online Reference: FLWSUPP 2209RODRInsurance -- Personal injury protection -- Discovery -- Reasonableness of charges -- Medical provider is ordered to disclose amount charged and received for CPT codes at issue during month service was rendered

Continue ReadingOPTIMUM REHABILITATION SPECIALISTS, INC., As assignee of Jessica Rodriguez, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

RBC HEALTH CLINICS, LLC d/b/a POLK ACCIDENT AND REHAB CENTER a/a/o MICHELLE BRYAN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1061a

Online Reference: FLWSUPP 2209BRYAInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry -- Reasonableness of charges -- Medical provider is compelled to produce documents regarding payments for CPT codes at issue made by Medicare, Medicaid, workers' compensation, PPOs, HMOs, private insurance carriers, private pay and other payors and provider's corporate representative shall testify about charges to and payments by those entities

Continue ReadingRBC HEALTH CLINICS, LLC d/b/a POLK ACCIDENT AND REHAB CENTER a/a/o MICHELLE BRYAN, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

STAND-UP MRI & DIAGNOSTIC CENTER, P.A., as assignee of Linda Voigt, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 940a

Online Reference: FLWSUPP 2208VOIGInsurance -- Personal injury protection -- Discovery -- Where insurer has elected to reimburse claim pursuant to statutory fee schedule, any discovery regarding reasonableness of charges is irrelevant

Continue ReadingSTAND-UP MRI & DIAGNOSTIC CENTER, P.A., as assignee of Linda Voigt, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

EMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Diana Harpel, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 937a

Online Reference: FLWSUPP 2208HARPInsurance -- Personal injury protection -- Coverage -- Medical expenses -- Reasonable, related, and necessary treatment -- Discovery -- Depositions -- Provider's representative -- Further inquiry into whether claim was related and medically necessary or whether charge was reasonable is irrelevant and immaterial where bill was processed and paid under statutory fee schedule -- Insurer's motion to compel denied

Continue ReadingEMERGENCY MEDICINE PROFESSIONALS, P.A., as assignee of Diana Harpel, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

EMERGENCY MEDICINE PROFESSIONALS, P.A., as Assignee of Londarel Harris, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, INC., Defendant.

22 Fla. L. Weekly Supp. 112a

Online Reference: FLWSUPP 2201EMERInsurance -- Personal injury protection -- Discovery -- Depositions -- Although insurer applied portion of emergency service provider's bill to deductible without challenging reasonableness of charges, validity of assignment, lawfulness of treatment, or satisfaction of conditions precedent, information related to those issues is discoverable where the issues have been raised either in provider's case in chief or in insurer's answer

Continue ReadingEMERGENCY MEDICINE PROFESSIONALS, P.A., as Assignee of Londarel Harris, Plaintiff, v. FIRST ACCEPTANCE INSURANCE COMPANY, INC., Defendant.
  • Post category:Volume 22

XTREME CHIROPRACTIC & REHAB, INC., A FLORIDA CORPORATION (A/A/O JEAN-BAPTISTE, JEANIGH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 475a

Online Reference: FLWSUPP 2204XTREInsurance -- Personal injury protection -- Discovery -- Depositions -- Documents to be produced at deposition of medical provider

Continue ReadingXTREME CHIROPRACTIC & REHAB, INC., A FLORIDA CORPORATION (A/A/O JEAN-BAPTISTE, JEANIGH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

DR. ROBERT S. SCHWARTZ, P.A. (A/A/O PUERTO, JUAN), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 958a

Online Reference: FLWSUPP 2208PUERInsurance -- Personal injury protection -- Discovery -- Depositions -- Corporate representative of insurer -- Scope of inquiry

Continue ReadingDR. ROBERT S. SCHWARTZ, P.A. (A/A/O PUERTO, JUAN), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- PINE RIDGE, (ASSIGNEE OF GAY, KRISTEN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 764b

Online Reference: FLWSUPP 2206GAYInsurance -- Personal injury protection -- Discovery -- Depositions -- Order on documents to be produced at deposition of insurer's corporate representative and scope of inquiry at deposition regarding calculations used to determine payments made to medical provider and reimbursement levels in community

Continue ReadingNAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- PINE RIDGE, (ASSIGNEE OF GAY, KRISTEN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- PINE RIDGE, a Florida Corp. (a/a/o Fletcher, Raymond), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 764a

Online Reference: FLWSUPP 2206FLETInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingNAPLES HMA, LLC D/B/A PHYSICIANS REGIONAL MEDICAL CENTER- PINE RIDGE, a Florida Corp. (a/a/o Fletcher, Raymond), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PHYSICIANS GROUP OF SARASOTA, LLC, a/k/a PHYSICIANS GROUP (a/a/o Osgood, Genise), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 742c

Online Reference: FLWSUPP 2206OSGOInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry at deposition of insurer's corporate representative regarding reimbursement levels in community

Continue ReadingPHYSICIANS GROUP OF SARASOTA, LLC, a/k/a PHYSICIANS GROUP (a/a/o Osgood, Genise), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

APPLE MEDICAL CENTER, LLC, A FLORIDA CORPORATION (A/A/O RODRIGUEZ, JUAN 5), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 737a

Online Reference: FLWSUPP 2206JRODInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingAPPLE MEDICAL CENTER, LLC, A FLORIDA CORPORATION (A/A/O RODRIGUEZ, JUAN 5), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

HEALTH DIAGNOSTICS OF ORLANDO, LLC d/b/a STAND-UP MRI OF ORLANDO, as assignee of Erika Huffman, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 732a

Online Reference: FLWSUPP 2206HUFFInsurance -- Personal injury protection -- Discovery -- Where insurer utilized permissive statutory fee schedule to calculate reimbursement rate although policy is devoid of any reference to section 627.736(5)(a)2 and merely refers to “fee schedules applicable to automobile insurance,” insurer unilaterally determined “reasonableness” and discovery on issue of reasonableness shall not be had by either party -- Deposition of insurer's corporate representative shall be conducted to establish basic facts and authenticate record evidence to allow parties to proceed to summary judgment on issue of whether policy gave adequate notice of insurer's intent to utilize permissive statutory fee schedule

Continue ReadingHEALTH DIAGNOSTICS OF ORLANDO, LLC d/b/a STAND-UP MRI OF ORLANDO, as assignee of Erika Huffman, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HEALTH DIAGNOSTICS OF ORLANDO, LLC DBA STAND-UP MRI OF ORLANDO, as assignee of Sherikey Mobley, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 728b

Online Reference: FLWSUPP 2206MOBLInsurance -- Personal injury protection -- Discovery -- Depositions -- Corporate representative of insurer -- Scope of inquiry

Continue ReadingHEALTH DIAGNOSTICS OF ORLANDO, LLC DBA STAND-UP MRI OF ORLANDO, as assignee of Sherikey Mobley, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

JEREMY GORDON, D.C. a/a/o Christine M. Reedy, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 606a

Online Reference: FLWSUPP 2205REEDInsurance -- Personal injury protection -- Discovery -- Depositions -- Medical provider is entitled to depose insurer's corporate representative regarding insurer's contention that provider's charges are not reasonable and how insurer calculated reimbursement rate -- Provider is not required to depose litigation adjuster and PIP adjuster before deposing corporate representative

Continue ReadingJEREMY GORDON, D.C. a/a/o Christine M. Reedy, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HERNANDO HMA, LLC, D/B/A BROOKSVILLE REGIONAL HOSPITAL, (ASSIGNEE OF STINNETT, BILLY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 480b

Online Reference: FLWSUPP 2204STINNOT FINAL VERSION OF OPINION
Subsequent Changes at 22 Fla. L. Weekly Supp. 931aInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingHERNANDO HMA, LLC, D/B/A BROOKSVILLE REGIONAL HOSPITAL, (ASSIGNEE OF STINNETT, BILLY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NAPLES HMA, LLC D/B/A, PHYSICIANS REGIONAL MEDICAL CENTER-COLLIER BOULEVARD, A FLORIDA CORP. (A/A/O MCDONALD, CASEY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 480a

Online Reference: FLWSUPP 2204MCDOInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingNAPLES HMA, LLC D/B/A, PHYSICIANS REGIONAL MEDICAL CENTER-COLLIER BOULEVARD, A FLORIDA CORP. (A/A/O MCDONALD, CASEY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

XTREME CHIROPRACTIC & REHAB, INC., A FLORIDA CORPORATION (A/A/O JEAN-BAPTISTE, JEANIGH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 474a

Online Reference: FLWSUPP 2204JEANInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingXTREME CHIROPRACTIC & REHAB, INC., A FLORIDA CORPORATION (A/A/O JEAN-BAPTISTE, JEANIGH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

LAKE WORTH PHYSICAL MEDICINE D/B/A PALM BEACH PHYSICAL MEDICINE (A/A/O JAIMEZ, BIBIANA), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 472a

Online Reference: FLWSUPP 2204JAIMInsurance -- Personal injury protection -- Discovery -- Depositions -- In deposition of insurer's corporate representative, medical provider is entitled to inquire about method of determining reasonableness of payment of charges, reimbursement levels in community, and factual bases of defenses asserted by insurer -- Insurer is required to produce claims materials and documents regarding calculation of reasonable payment and reimbursement levels in community

Continue ReadingLAKE WORTH PHYSICAL MEDICINE D/B/A PALM BEACH PHYSICAL MEDICINE (A/A/O JAIMEZ, BIBIANA), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PRECISION DIAGNOSTIC, INC., A FLORIDA CORP., A/A/O ALZATE, JOSE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 471a

Online Reference: FLWSUPP 2204ALZAInsurance -- Personal injury protection -- Discovery -- Depositions -- In deposition of insurer's corporate representative, medical provider is entitled to inquire about general claim information, method of calculating reimbursement, and reimbursement levels in community

Continue ReadingPRECISION DIAGNOSTIC, INC., A FLORIDA CORP., A/A/O ALZATE, JOSE, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

BEACHES OPEN MRI OF THE TREASURE COAST, LLC (PATIENT: CALVIN WILSON), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 389a

Online Reference: FLWSUPP 2203WILSInsurance -- Discovery -- Depositions -- In deposition of insurer's corporate representative, medical provider shall be entitled to inquire regarding basis for determining reasonableness and payment of charges at issue, reimbursement levels in community, and factual, but not legal, basis supporting every defense to payment asserted by insurer

Continue ReadingBEACHES OPEN MRI OF THE TREASURE COAST, LLC (PATIENT: CALVIN WILSON), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

MEDICAL CENTER IMAGING, LLC D/B/A CENTRAL PALM BEACH IMAGING (PATIENT: MAXIME, JOSEPH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 132a

Online Reference: FLWSUPP 2201MAXIInsurance -- Discovery -- Depositions -- When deposing insurer's corporate representative, medical provider is entitled to inquire into method and calculations used to determine reasonableness of charges, reimbursement levels in community as reflected in amounts insurer has paid to other providers, and factual basis supporting defenses to payment asserted by insurer -- Provider is not entitled to inquire into legal basis for defenses

Continue ReadingMEDICAL CENTER IMAGING, LLC D/B/A CENTRAL PALM BEACH IMAGING (PATIENT: MAXIME, JOSEPH), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

FLORIDA HOSPITAL MEDICAL CENTER, as assignee of Jose Conty, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 123c

Online Reference: FLWSUPP 2201CONTInsurance -- Personal injury protection -- Discovery -- Depositions -- Order establishing scope and deposition of insurer's corporate representative and materials representative is required to bring to deposition

Continue ReadingFLORIDA HOSPITAL MEDICAL CENTER, as assignee of Jose Conty, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

COASTAL NEUROLOGY, INC., as assignee of Susan Selover, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 113a

Online Reference: FLWSUPP 2201SELOInsurance -- Personal injury protection -- Discovery -- Depositions -- Order establishing scope of deposition of insurer's corporate representative and materials representative is required to bring to deposition

Continue ReadingCOASTAL NEUROLOGY, INC., as assignee of Susan Selover, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

BEACHES OPEN MRI OF TAMARAC, LLC (a/a/o TARAZI, SAMIR), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 955b

Online Reference: FLWSUPP 2208TARAInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reasonableness of charges and reimbursement levels in community and documents to be produced at deposition

Continue ReadingBEACHES OPEN MRI OF TAMARAC, LLC (a/a/o TARAZI, SAMIR), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

PHYSICIANS GROUP OF SARASOTA, LLC Aka PHYSICIANS GROUP LLC a/a/o Ricardo Ventura, Plaintiff, vs. STATE FARM FIRE & CASUALTY COMPANY, Defendant

22 Fla. L. Weekly Supp. 953a

Online Reference: FLWSUPP 2208VENTInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingPHYSICIANS GROUP OF SARASOTA, LLC Aka PHYSICIANS GROUP LLC a/a/o Ricardo Ventura, Plaintiff, vs. STATE FARM FIRE & CASUALTY COMPANY, Defendant
  • Post category:Volume 22

BEACHES OPEN MRI OF THE TREASURE COAST, LLC D/B/A BEACHES MRI, A FLORIDA CORP. (A/A/O FAHD, DONNA), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 401b

Online Reference: FLWSUPP 2203FAHDInsurance -- Personal injury protection -- Discovery -- Depositions -- Documents -- Reimbursement levels in community

Continue ReadingBEACHES OPEN MRI OF THE TREASURE COAST, LLC D/B/A BEACHES MRI, A FLORIDA CORP. (A/A/O FAHD, DONNA), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEW SMYRNA IMAGING, LLC, as assignee of Michaela Sass, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 935b

Online Reference: FLWSUPP 2208MSASInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry -- Reasonableness of charges -- Where insurer has elected to reimburse claims pursuant to statutory fee schedule, reasonableness of charges is not issue about which discovery is permitted

Continue ReadingNEW SMYRNA IMAGING, LLC, as assignee of Michaela Sass, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

HERNANDO HMA, LLC, D/B/A BROOKSVILLE REGIONAL HOSPITAL, (ASSIGNEE OF STINNETT, BILLY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 931a

Online Reference: FLWSUPP 2208STINInsurance -- Personal injury protection -- Discovery -- Depositions -- Scope of inquiry regarding reasonableness of charges and reimbursement levels in community and documents to be produced at deposition of insurer's corporate representative

Continue ReadingHERNANDO HMA, LLC, D/B/A BROOKSVILLE REGIONAL HOSPITAL, (ASSIGNEE OF STINNETT, BILLY), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

RIVERVIEW FAMILY CHIROPRACTIC CENTER, PA., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

22 Fla. L. Weekly Supp. 470a

Online Reference: FLWSUPP 2204SHCHInsurance -- Personal injury protection -- Discovery -- Depositions -- Where deposition testimony of insurer's corporate representative will have no bearing on whether demand letter satisfied statutory condition precedent, and all other issues in case will be moot if insurer prevails on motion for summary judgment based on defective demand letter, all depositions are postponed until after resolution of demand letter issue

Continue ReadingRIVERVIEW FAMILY CHIROPRACTIC CENTER, PA., a Florida Corporation, (assignee of Chapman, Sherri), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant
  • Post category:Volume 22

SUZANNE JOHNSON, Plaintiff v. AUTO OWNERS INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 845a

Online Reference: FLWSUPP 2207SJOHInsurance -- Personal injury protection -- Discovery -- Depositions -- Failure to attend -- Order finding insurer in contempt and imposing monetary sanctions for failure of corporate representative to attend court-ordered deposition is vacated

Continue ReadingSUZANNE JOHNSON, Plaintiff v. AUTO OWNERS INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

SUZANNE JOHNSON, Plaintiff, v. SOUTHERN-OWNERS INSURANCE COMPANY, a foreign corporation, Defendant.

22 Fla. L. Weekly Supp. 386a

Online Reference: FLWSUPP 2203SJOHNOT FINAL VERSION OF OPINION
Subsequent Changes at 22 Fla. L. Weekly Supp. 845aInsurance -- Discovery -- Depositions -- Failure to attend -- Insurer is found in contempt and monetary sanctions are imposed where corporate representative failed to attend court-ordered deposition

Continue ReadingSUZANNE JOHNSON, Plaintiff, v. SOUTHERN-OWNERS INSURANCE COMPANY, a foreign corporation, Defendant.
  • Post category:Volume 22

PORT CHARLOTTE HMA, LLC., d/b/a PEACE RIVER REGIONAL MEDICAL CENTER, a Florida Corporation, ala/o CHARLOTTE OBEREMPT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 971a

Online Reference: FLWSUPP 2208OBERInsurance -- Personal injury protection -- Discovery -- Depositions -- Insurer's representative -- Amounts hospitals within county charged for same procedures at issue in instant case for thirty-day periods prior to and after date of service

Continue ReadingPORT CHARLOTTE HMA, LLC., d/b/a PEACE RIVER REGIONAL MEDICAL CENTER, a Florida Corporation, ala/o CHARLOTTE OBEREMPT, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

AXIS CHIROPRACTIC & REHAB CENTER, INC., a Florida Corporation (a/a/o Tina Faulkner), Plaintiff, vs. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.

22 Fla. L. Weekly Supp. 385a

Online Reference: FLWSUPP 2203FAULInsurance -- Discovery -- Depositions -- Motion to compel depositions of multiple employees of insurer is granted -- No merit to insurer's arguments that it should be allowed to produce only one employee for deposition because manner in which insurer operates results in single employee having all information other employees could offer and because insurer is overburdened with discovery requests

Continue ReadingAXIS CHIROPRACTIC & REHAB CENTER, INC., a Florida Corporation (a/a/o Tina Faulkner), Plaintiff, vs. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.
  • Post category:Volume 22

ADVANTAGE HEALTH & WELLNESS CENTER, LLC, a/a/o SHERI BADZINSKI, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1066a

Online Reference: FLWSUPP 2209BADZInsurance -- Personal injury protection -- Discovery -- Depositions -- Medical provider is not entitled to depose insurer's employees as fact witnesses where insurer has produced affidavits indicating that those employees have no personal knowledge of case

Continue ReadingADVANTAGE HEALTH & WELLNESS CENTER, LLC, a/a/o SHERI BADZINSKI, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

INTEGRATED HEALTH SOLUTIONS, P.L., d/b/a ADVANCED SPINAL CARE CHIROPRACTIC & REHAB OF LAKELAND, a/a/o VANESSA LAZARD, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 735a

Online Reference: FLWSUPP 2206LAZAInsurance -- Discovery -- Depositions -- Litigation adjuster and pre-litigation adjuster

Continue ReadingINTEGRATED HEALTH SOLUTIONS, P.L., d/b/a ADVANCED SPINAL CARE CHIROPRACTIC & REHAB OF LAKELAND, a/a/o VANESSA LAZARD, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

PHOENIX EMERGENCY MEDICINE OF BROWARD, LLC, as assignee of Vanessa Aguayo, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 941a

Online Reference: FLWSUPP 2208AGUAInsurance -- Discovery -- Depositions -- Failure to attend -- Sanctions -- Attorney's fees and court reporter costs

Continue ReadingPHOENIX EMERGENCY MEDICINE OF BROWARD, LLC, as assignee of Vanessa Aguayo, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

T.S. MEDICAL HEALTH, INC. A/A/O CARLOS LICOR, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 466a

Online Reference: FLWSUPP 2204LICOInsurance -- Discovery -- Depositions -- Failure to appear -- Sanctions -- Where corporate representative for medical provider failed to appear for two prior depositions, provider sought protective order from latest scheduled deposition on grounds that representative was out of town, but failed to comply with order to fax travel documents to court to verify that representative was on pre-planned trip, and representative failed to appear for deposition, provider's pleadings are stricken and case is dismissed

Continue ReadingT.S. MEDICAL HEALTH, INC. A/A/O CARLOS LICOR, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A., as assignee of ANTHONY PARKER, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 597b

Online Reference: FLWSUPP 2205PARKInsurance -- Personal injury protection -- Discovery -- Depositions -- Expert witness fee -- Treating physician who is owner of plaintiff medical provider is entitled to witness fee for deposition testimony where plaintiff brought action against insurer pursuant to assignment of benefits

Continue ReadingNEUROLOGY PARTNERS, P.A., as assignee of ANTHONY PARKER, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

NEUROLOGY PARTNERS, P.A. As Assignee of Timothy Adams, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 597a

Online Reference: FLWSUPP 2205TADAInsurance -- Personal injury protection -- Discovery -- Depositions -- Expert witness fee -- Treating physician who is owner of plaintiff medical provider is entitled to expert witness fee for deposition testimony where plaintiff brought action against insurer pursuant to assignment of benefits

Continue ReadingNEUROLOGY PARTNERS, P.A. As Assignee of Timothy Adams, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

OPTIMAL WELLNESS & REHAB CENTER, P.A., A/A/O KHIA DANIELS, Plaintiff, vs. PEAK PROPERTY AND CASUALTY INSURANCE CORP., Defendant.

22 Fla. L. Weekly Supp. 1111c

Online Reference: FLWSUPP 2209DANIInsurance -- Discovery -- Depositions -- Treating physician who is owner of plaintiff medical provider is not entitled to expert witness fee for his deposition testimony

Continue ReadingOPTIMAL WELLNESS & REHAB CENTER, P.A., A/A/O KHIA DANIELS, Plaintiff, vs. PEAK PROPERTY AND CASUALTY INSURANCE CORP., Defendant.
  • Post category:Volume 22

OPTIMAL WELLNESS & REHAB CENTER, P.A., A/A/O SHAMEIKA SNIPES, Plaintiff, vs. PEAK PROPERTY AND CASUALTY INSURANCE CORP., Defendant.

22 Fla. L. Weekly Supp. 1110c

Online Reference: FLWSUPP 2209SNIPInsurance -- Discovery -- Depositions -- Treating physician is not entitled to expert witness fee for his deposition testimony

Continue ReadingOPTIMAL WELLNESS & REHAB CENTER, P.A., A/A/O SHAMEIKA SNIPES, Plaintiff, vs. PEAK PROPERTY AND CASUALTY INSURANCE CORP., Defendant.
  • Post category:Volume 22

ORTHOPEDIC SPECIALISTS, AS ASSIGNEE OF ROBERT HAMROCK, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 1065c

Online Reference: FLWSUPP 2209HAMRInsurance -- Discovery -- Depositions -- Expert witness fee -- Treating physician who is owner of plaintiff medical provider is not entitled to expert fee for deposition testimony

Continue ReadingORTHOPEDIC SPECIALISTS, AS ASSIGNEE OF ROBERT HAMROCK, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
  • Post category:Volume 22

UNITED AUTOMOBILE INSURANCE COMPANY Appellant(s), vs. PROFESSIONAL MEDICAL GROUP, INC., a/a/o GERALDO LANDAVERDE, Appellee(s).

22 Fla. L. Weekly Supp. 186a

Online Reference: FLWSUPP 2202LANDInsurance -- Personal injury protection -- Discovery -- Depositions -- No abuse of discretion in awarding expert witness fee for deposition testimony of treating physician -- Trial court erred in disregarding peer review and affidavit of physician who conducted independent medical examination because they were obtained after PIP suit was filed and, consequently, erred in entering summary judgment in favor of medical provider -- Insurer may assert that treatment was not reasonable, related or necessary at any time

Continue ReadingUNITED AUTOMOBILE INSURANCE COMPANY Appellant(s), vs. PROFESSIONAL MEDICAL GROUP, INC., a/a/o GERALDO LANDAVERDE, Appellee(s).
  • Post category:Volume 22

CLEAR VISION WINDSHIELD REPAIR (a/a/o Richard Voss), Plaintiff, vs. GOVERNMENT EMPLOYEES INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 965a

Online Reference: FLWSUPP 2208VOSSInsurance -- Small claims -- Insurer is not required to file response to complaint in small claims case where rules of civil procedure have not been invoked -- Motion for default is denied

Continue ReadingCLEAR VISION WINDSHIELD REPAIR (a/a/o Richard Voss), Plaintiff, vs. GOVERNMENT EMPLOYEES INSURANCE COMPANY, Defendant.