10 Fla. L. Weekly Supp. 346a
Insurance — Personal injury protection — Standing — Assignment — Medical provider did not have standing to sue insurer where assignment states that it is for benefit of entity which is not related to or affiliated with medical provider and assignment does not mention medical provider — HCFA form which was submitted by other entity and is not countersigned by insured does not create valid assignment — Notice — Medical provider has not complied with condition precedent to provide insurer with sufficient notice of loss where chiropractor who performed videofluoroscopy and range of motion tests at issue was neither licensed as medical practitioner nor certified as technician in Florida — Lawfully rendered services — Medical provider failed to lawfully render treatment to insured where provider violated law by allowing chiropractor to perform test without verifying his licensure or certification, and chiropractor violated law by testing insured without holding valid license or certificate — Services to insured were not lawfully rendered where medical provider violated administrative rule by using mobile unit to perform videofluoroscopy test when it was practicable for insured to travel to stationary radiographic installation — HCFA Form — Medical provider failed to comply with condition precedent to filing suit by knowingly and intentionally providing false, misleading, incomplete or patently deceptive information on HCFA Form by falsely indicating that it had insured’s signature on file, that no outside lab performed test, and that test was performed in its office rather than mobile lab; billing for 5 anatomical areas although only one area was tested; billing for professional component of test that it did not render; misrepresenting cost of services; indicating medical provider’s owners performed or supervised test; and naming as medical provider entity which is not registered corporation or fictitious name — Medical provider failed to “render treatment” within meaning of section 627.736 and cannot recover for treatment, where treatment was provided by independent contractor — Medical provider failed to comply with condition precedent and failed to lawfully render services where provider did not perform professional component of test but copied report of physician who performed professional component onto its own letterhead and submitted report to justify billing for professional component — Medical provider which merely provided mobile testing van used to perform test provided no “necessary medical, surgical, x-ray, dental, and rehabilitative services” or the like to insured and is not healthcare provider entitled to PIP benefits — Patient brokering — Medical provider’s activities constitute clear violation of public policy and statutes prohibiting patient brokering and split-fee arrangements — Summary judgment granted in favor of insurer — Questions certified