Volume 18

Case Search

TERESITA MEDICAL CENTER, INC., a/a/o YOLANDA ARENCIBIA, Plaintiff, vs. STATE FARM FIRE & CASUALTY COMPANY, Defendant.

18 Fla. L. Weekly Supp. 304a

Online Reference: FLWSUPP 1803TERE

Insurance — Personal injury protection — Coverage — Medical expenses — Lawfully rendered services — Medical provider that is health care clinic, not massage establishment, and holds valid health care clinic license from Agency for Health Care Administration was not required to have massage establishment license in order to lawfully render massage services

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PHYSICIANS GROUP LLC., As assignee of Charmain Walters, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant.

18 Fla. L. Weekly Supp. 882a

Online Reference: FLWSUPP 1809WALT

Insurance — Personal injury protection — Motion for final judgment is denied as unnecessary where insurer’s payment of benefits at issue, attorney’s fees, and costs pursuant to settlement has rendered case moot — No merit to argument that medical provider needs judgment in its favor in order to pursue bad faith claim

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PROGRESSIVE CASUALTY INSURANCE COMPANY, a Florida Corporation, Appellant, v. GALABOW-CHIROPRACTIC CLINIC, INC., d/b/a GALABOW CHIROPRACTIC CENTER a/a/o HARVEY NARIN, APLG OF VICTORIA NARIN, Appellee.

18 Fla. L. Weekly Supp. 160a

Online Reference: FLWSUPP 1802GALA

Insurance — Personal injury protection — Summary judgment — Error to enter summary judgment in favor of provider on issue of reasonableness of bills where peer review affidavit stating that portion of fees were excessive and mildly high creates genuine issue of material fact — No error in entering summary judgment in favor of provider on insurer’s argument that provider, which paid treating physician on percentage basis ,did not lawfully render services and engaged in illegal fee splitting

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WELLNESS ASSOCIATES OF FLORIDA, INC. (Daniel North), Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

18 Fla. L. Weekly Supp. 1056a

Online Reference: FLWSUPP 1810NORT

NOT FINAL VERSION OF OPINION
Subsequent Changes at 19 Fla. L. Weekly Supp. 52aInsurance — Personal injury protection — Coverage — Failure to pay bill within 30 days of receipt did not constitute automatic breach of PIP contract by insurer — Exhaustion of policy limits — PIP statute does not require first in/first out order of payment of claims — Where there are no allegations of bad faith on part of insurer in paying claims on which benefits were exhausted or that parties who received those payments were not entitled to them, insurer’s motion for summary judgment as to post-suit exhaustion of benefits is granted

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REGIONAL MRI OF ORLANDO, INC., as assignee of Lorraine Gerena, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

18 Fla. L. Weekly Supp. 563a

Online Reference: FLWSUPP 1807REGI

Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Bad faith — Fact that insurer deviated from its usual practice of paying claims in order in which they are received does not demonstrate bad faith in exhausting benefits in payment of insured’s wage loss claim and denying medical provider’s earlier-received claim where benefits were exhausted before provider’s claim became overdue and there is no allegation that insurer intentionally sought to benefit itself or harm provider in bad faith — No error in entering summary judgment in favor of insurer

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DPI OF NORTH BROWARD, LLC, (A/A/O JOHN SHUTOWICK), Plaintiff, vs. USAA CASUALTY INSURANCE COMPANY, Defendant.

18 Fla. L. Weekly Supp. 492a

Online Reference: FLWSUPP 1805SHUT Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Bad faith — Where there was no binding legal authority as to whether inclusion of professional license number on claim form was required at time insurer denied medical provider’s claim on that basis, there was no bad faith that would require insurer to set aside disputed amounts — Insurer is not responsible for disputed amounts after exhaustion of policy limits on other claims

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VIRTUAL IMAGING SERVICES, INC. (A/A/O YUDI VIGOREAUX), Plaintiff(s), vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant(s).

18 Fla. L. Weekly Supp. 491a

Online Reference: FLWSUPP 1805VIGO

NOT FINAL VERSION OF OPINION
Subsequent Changes at 18 Fla. L. Weekly Supp. 1042aInsurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Bad faith — Where there was no binding legal authority as to whether inclusion of professional license number on claim form was required at time insurer denied medical provider’s claim on that basis, there was no bad faith that would require insurer to set aside disputed amounts — Insurer is not responsible for disputed amounts after exhaustion of policy limits on other claims

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RHODES & ANDERSON, D.C., P.A. d/b/a VENICE CHIROPRACTIC CENTER (a/a/o JESSICA DAY), Appellant, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Appellee.

18 Fla. L. Weekly Supp. 925b

Online Reference: FLWSUPP 1809DAY

Insurance — Personal injury protection — Coverage — Medical expenses — Exhaustion of policy limits — Where there is no allegation that insurer acted in bad faith in handling PIP claims that exhausted benefits while provider was disputing reductions to its bills but before provider filed suit, trial court correctly entered summary judgment in favor of insurer

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