Volume 15

15 Fla. L. Weekly Supp. 472a

Insurance — Personal injury protection — Claims — Timeliness — Medical provider that submitted bills to insurer more than 35 days after dates of service forfeited any claim for payment from PIP carrier or insured — Even if bills had been timely submitted, insurer properly applied bills to deductible

15 Fla. L. Weekly Supp. 385a

Insurance — Personal injury protection — Notice of loss — HCFA form — Failure to provide physician credentials on HCFA forms — Partial summary judgment granted in favor of insurer

15 Fla. L. Weekly Supp. 618b

Insurance — Personal injury protection — Notice of loss — HCFA claim form — Waiver — Insurer’s issuance of partial payment and denial of balance of claim on grounds other than omission of professional license number from HCFA claim form showed intent to accept HCFA form as sufficient notice of covered loss — Insurer waived right to raise defective HCFA form as statutory bar to payment

15 Fla. L. Weekly Supp. 940b

Insurance — Personal injury protection — Notice of loss — HCFA form — Professional license number — Insurer has not been placed on notice of covered loss where HCFA forms submitted did not include professional license number of medical provider/diagnostic testing facility, notwithstanding argument that diagnostic testing facilities are not required to hold license

15 Fla. L. Weekly Supp. 735a

Insurance — Personal injury protection — Notice of loss — HCFA form — Professional license number — Failure to include professional license number in box 31 of HCFA forms fails to put insurer on notice of covered loss and bars suit

15 Fla. L. Weekly Supp. 1229a

Insurance — Personal injury protection — Notice of loss — Claim form — Professional license number — Insurer’s action of failing to provide explanation of benefits alerting medical provider to lack of professional license number in box 31 of HCFA form and proceeding with independent medical examination as if no defect in claim existed waived right to assert defense of defective HCFA form

15 Fla. L. Weekly Supp. 119a

Insurance — Personal injury protection — Notice of loss — HCFA form — Statutory amendment creating obligation to include medical provider’s professional license number on HCFA form is substantive change that does not apply retroactively to PIP policy entered into prior to effective date of amendment

15 Fla. L. Weekly Supp. 1225a

Insurance — Personal injury protection — Notice of loss — Claim form — Professional license number — Where there is no professional license required for MRI facility to perform or bill for MRI, insurer cannot refuse to pay timely presented claim for medically necessary MRI on ground that provider failed to list professional license number in box 31 of CMS-1500 claim form

15 Fla. L. Weekly Supp. 1204a

Insurance — Personal injury protection — Notice of loss — Claim form — Professional license number — Where there is no professional license required for MRI facility to perform or bill for MRI, insurer cannot refuse to pay timely presented claim for medically necessary MRI on ground that provider failed to list professional license number in box 31 of CMS-1500 claim form

15 Fla. L. Weekly Supp. 949b

Insurance — Personal injury protection — Notice of loss — Claim form — Professional license number — Where there is no professional license required for MRI facility to perform or bill for MRI, insurer cannot refuse to pay timely presented claim for medically necessary MRI on ground that provider failed to list professional license number in box 31 of CMS-1500 claim form