Volume 15

Case Search

DR. ELLIS SCHAUDER d/b/a SCHAUDER CHIROPRACTIC CARE, as assignee of Helen Rosario-Soto, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 1188a

Insurance — Personal injury protection — Demand letter — Medical provider that continued to provide treatment to insured after insurer withdrew benefits was not required to furnish written plan for additional treatment to insurer as condition precedent to serving demand letter and filing suit — Medical provider had option to simply continue treatment with risk of nonpayment or attempt to gain insurer’s concession to continued coverage through treatment plan

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WEST DIXIE CHIROPRACTIC CENTER, a Florida Corporation (assignee of Laguerre, Beatriz), Plaintiff, v. REDLAND INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 1206a

Insurance — Personal injury protection — Demand letter — Three demand letters for three periods of service comply with section 627.736(11), despite fact that ledger attached to each demand letter lists all dates of service, where each letter on its face specifies dates of service and charges claimed by that letter and amount claimed can be easily verified by reference to ledger

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HORIZON MEDICAL GROUP, INC., as assignee of MONIQUE WILLIAMS, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 823a

Insurance — Personal injury protection — Demand letter — Sufficiency — Demand letter that included copy of previously submitted claim form for single MRI service billed by medical provider complied with statute — Fact that claim form states amount in excess of MRI fee schedule does not render demand letter defective — Further, any defect in failing to state exact amount of claim was waived by insurer’s failure to raise defect in response to demand letter — No merit to argument that demand letter must account for deductible or calculate percentage payable

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ISMENIA TAMAYO-RODRIGUEZ, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 1189a

Insurance — Personal injury protection — Demand letter that did not state exact amount claimed, but instead attached billing ledgers for three medical providers and claimed entire amount billed without deduction of any amounts insurer had paid, did not satisfy condition precedent of filing demand letter — Standing — Assignment — Insured who had not obtained revocation of assignments given to two providers did not have right to serve demand letter for those providers’ bills

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