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Volume 12

Case Search

THE ORTHOPEDIC CENTER OF NORTH CENTRAL FLORIDA, P.A. a/a/o Charlotte Shafer, Plaintiff, vs. NATIONWIDE MUTUAL FIRE INSURANCE COMPANY, Defendant.

12 Fla. L. Weekly Supp. 670c

Insurance — Personal injury protection — Coverage — Exhaustion of policy limits — Insurer did not err in exhausting policy limits by paying hospital claim rather than medical provider’s claim that was submitted prior to hospital’s claim where insurer received hospital claim of lien within 30 days from date insurer received provider’s claim, and insurer properly held benefits pending receipt of hospital invoice and then exhausted benefits by paying invoice

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MEDICAL CONSULTANTS OF SOUTH FLORIDA, (Beryl Blake, Patient), Plaintiff, vs. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.

12 Fla. L. Weekly Supp. 382a

Insurance — Personal injury protection — Coverage — Exhaustion of policy limits — Insurer’s motion for summary judgment based on exhaustion of policy limits is denied — Attachments to motion cannot be considered because they are not sworn or certified, and issues of material fact remain with regard to order in which insurer received claim submissions and whether insured was overpaid for wage loss

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PROGRESSIVE CONSUMERS INSURANCE COMPANY, Defendant/Appellant, v. CYNTHIA HOUSER, Plaintiff/Appellee.

12 Fla. L. Weekly Supp. 998a

Insurance — Personal injury protection — Coverage — Medical expenses — Hospital lien — Where hospital holding lien for limits of PIP policy submitted offer to insured through insurer that would have allowed insured to retain portion of benefits, insured rejected offer, and hospital requested that insurer send full payment of lien, insurer had no obligation to advise insured prior to paying benefits to hospital that there would be no further offers from hospital and that insured could either accept hospital’s offer or all of her PIP benefits would be taken by hospital

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ISOMED DIAGNOSTICS CORPORATION a/a/o Tina Godwin, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.

12 Fla. L. Weekly Supp. 231b

Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Medical provider/assignee’s interests under PIP policy are extinguished where benefits have been exhausted and provider failed to give insurer timely or sufficient notice of dispute prior to exhaustion — Summary judgment entered in favor of insurer

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PHYSICAL MEDICINE CENTER, (a/a/o Timothy Baitinger, Donald Jackson, Michelle Davison, and Thomas Dickson, and Mary Sommer), Appellant, v. PROGRESSIVE EXPRESS INSURANCE CO., Appellee.

12 Fla. L. Weekly Supp. 210c

Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — No error in dismissing cases where benefits were exhausted before suits were filed and medical provider did not allege or demonstrate that insurer conducted itself inappropriately in any way

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ADVANCED PAIN CLINIC, P.A., As assignee of Mildred Hicks, Plaintiff, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant.

12 Fla. L. Weekly Supp. 237a

Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Subsequent claim for unpaid portion of medical bills — Where medical provider never requested that insurer escrow or reserve benefits for unpaid portions of reduced bills or put insurer on notice that it was contesting partial payments until suit was filed after exhaustion of policy limits, summary judgment is granted in favor of insurer

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FRANCISCO GOMEZ, M.D., P.A., as assignee of Noemia Brunet, Plaintiff/Appellant, vs. PROGRESSIVE EXPRESS INSURANCE COMPANY, Defendant/Appellee.

12 Fla. L. Weekly Supp. 121b

Insurance — Personal injury protection — Coverage — Exhaustion of policy limits — Escrow request — Specificity — No error in determining that escrow request was insufficient where request authorized insurer to reserve any disputed or unpaid medical bills but did not specify amount to be placed in escrow, and record does not reflect whether request was provided to insurer in advance of suit or whether medical provider contested reductions in advance of filing suit

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