Volume 11

Case Search

CHARLES L. MITZELFELD, DC d/b/a FOUNDATION CHIROPRACTIC CLINIC, (Joy Khamare), Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

11 Fla. L. Weekly Supp. 141a

Insurance — Personal injury protection — Standing — Assignment — Validity — Where insured signed direction to pay that specifically provides that it is not an assignment and that it can be revoked only by written notice by certified mail, after filing PIP action medical provider provided insurer with later-signed document assigning benefits, and there is no evidence that first document was revoked in accordance with its terms, documents cancel each other out and there is no basis for standing of medical provider — Summary judgment granted in favor of insurer

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ORTHOPAEDICS OF BREVARD, P.A., As Assignee of Jan Storck, and/or Third Party Beneficiary, Plaintiff, v. PROGRESSIVE CASUALTY INSURANCE COMPANY, Defendant.

11 Fla. L. Weekly Supp. 163a

Insurance — Personal injury protection — Standing — Assignment — Validity — Where, although documents are titled “assignment,” plain language of documents is not indicative of intent of insured to give up rights and benefits under insurance policy, documents are direction to pay, not assignment — Insurer’s motion for summary judgment granted

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PHYSICIANS INJURY CENTER, INC. (as assignee of Carla Ashley), Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.

11 Fla. L. Weekly Supp. 137b

Insurance — Personal injury protection — Standing — Assignment — Validity — Where there is nothing in purported assignment stating that insured relinquished her rights to PIP benefits or that medical provider was accepting assignment, document is authorization for direct payment, not assignment — Motion to dismiss granted

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ADVANCED DIAGNOSTIC TESTING, INC., Appellant, v. STATE FARM INS. CO., Appellee.

11 Fla. L. Weekly Supp. 964c

Insurance — Personal injury protection — Assignment — Coverage — Conditions precedent — Examination under oath — Medical provider/assignee — Document providing that insured is transferring and conveying all rights, title, and interest in medical expense reimbursement was valid assignment and not merely a direction to pay — Assignment does not transfer to health care provider the obligation to attend an examination under oath — Under clear terms of insurance policy drafted by insurer, neither facility which employed physician nor treating physician was required to attend EUO as condition precedent to filing suit — Order dismissing case reversed

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A-1 MOBILE MRI (Edwin Hurtado), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

11 Fla. L. Weekly Supp. 1112b

Insurance — Personal injury protection — MRI — Assignment executed by insured in favor of plaintiff was legally valid and sufficient to confer standing — Florida law does not require patient to countersign legally assigned invoice, bill or health insurance claim form as condition precedent to payment of claim — Bill for MRI is not invalid merely because amount charged exceeds amount of applicable MRI Fee Schedule — MRI was reasonable and necessary diagnostic test which was related to injuries sustained in motor vehicle accident, and bill for MRI was submitted to insurer within 30 days of MRI — Plaintiff’s motion for summary judgment granted

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