12 Fla. L. Weekly Supp. 958a
Insurance — Personal injury protection — Discovery — Documents — Insurer is ordered to produce all reimbursement amounts allowed to health care providers within medical provider’s zip code for CPT code at issue — Medical provider is ordered to produce, relative to CPT code at issue, fee schedules, billing receipts for all patients on dates of treatment of insured, records regarding patients or insurers who have disputed reasonableness of charges, audits, documents from any claim or lawsuit involving dispute over amounts billed, and documents showing licensure and registration
SCOTT SILAS, M.D., as assignee of MARK IGLICH, Plaintiff, vs. PROGRESSIVE BAYSIDE INSURANCE COMPANY, Defendant. County Court, 7th Judicial Circuit in and for Volusia County. Case No. 2002-21334-CONS. July 19, 2005. Mary Jane Henderson, Judge. Counsel: Kimberly Simoes. Steven R. Robinson, Cameron, Hodges, Coleman, LaPointe, Wright, P.A., Daytona Beach. Frederick Jaeger.
ORDER
THIS CAUSE, having come before the Court for consideration on the Plaintiff’s and Defendant’s Objections to Request to Produce, and the Court having heard argument of counsel and being otherwise fully advised, it is hereby
ORDERED AND ADJUDGED:
1. That the Defendant shall produce all reimbursement amounts allowed by the Defendant to all health care providers within Plaintiff’s zip code for procedure code 99204 from July 22, 2002 through October 22, 2002.
It is further ORDERED AND ADJUDGED:
2. That the Plaintiff shall produce all fee schedules in effect on each date of treatment for Mark Iglich.
3. That the Plaintiff shall produce all fee schedules in effect for the last three years.
4. That the Plaintiff shall produce all billing receipts generated by the Plaintiff’s office for all patients on each date of treatment of the patient, Mark Iglich, for CPT Code 99204.
5. That the Plaintiff shall produce all records, documents and materials of whatever nature regarding patients who have disputed the reasonableness of CPT Code 99204 one year prior to August 22, 2002 and one year after August 22, 2002.
6. That the Plaintiff shall produce all records, documents and materials of whatever nature regarding any insurance carrier disputing the reasonableness of Plaintiff’s fees for CPT Code 99204 one year prior to August 22, 2002 and one year after August 22, 2002.
7. That the Plaintiff shall produce all written internal or outside audits regarding charges for services and treatment.
8. That the Plaintiff shall produce all correspondence, memos, letters, documents and materials of whatever nature regarding any claim or lawsuit in which the Plaintiff has been involved regarding disputes over amounts billed by Plaintiff or Plaintiff’s facility.
9. That the Plaintiff shall produce any and all documents in Plaintiff’s possession showing the Plaintiff was properly licensed to provide medical services consistent with maintaining a cause of action under Section 627.736, Florida Statutes.
10. That the Plaintiff shall produce any and all documents in the Plaintiff’s possession showing that the Plaintiff was properly registered with the state to provide medical services consistent with maintaining a cause of action under Section 627.736, Florida Statutes.
11. All production which is ordered herein is limited to information regarding the specific procedure code at issue.
12. The parties shall produce the documents relating to this Order within (20) days of the date of this Order.
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