Volume 22

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SOUTHSIDE CHIROPRACTIC CENTRE, INC. (TELLY MILLER), Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant

22 Fla. L. Weekly Supp. 152a

Online Reference: FLWSUPP 2201TMILInsurance — Personal injury protection — Coverage — Emergency medical condition — Amendments to PIP statute requiring insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition are harmonized to limit benefits to $2,500 unless provider has determined that claimant had emergency medical condition, not to require payment of up to $10,000 in benefits unless provider notified insurer that claimant had not suffered such condition

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RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Jessica Lamarre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 910a

Online Reference: FLWSUPP 2208LAMAInsurance — Personal injury protection — Small claims — Trial court erred in considering amount of claim stated in demand letter in ruling on motion to dismiss — Doctrine of de minimis non curat lex does not preclude small claims action seeking less than $100 in PIP benefits — Error to base dismissal in part on affirmative defense that medical provider did not bring action in good faith because it did not attempt to mitigate damages by reaching out to insurer before initiating litigation — PIP statute only requires that a claimant submit presuit demand letter, which provider did

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RADIOLOGY REGIONAL CENTER, P.A., (a/a/o Racquel Pierre), Appellant, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

22 Fla. L. Weekly Supp. 908a

Online Reference: FLWSUPP 2208PIERInsurance — Personal injury protection — Small claims — Trial court erred in considering amount of claim stated in demand letter in ruling on motion to dismiss — Doctrine of de minimis non curat lex does not preclude small claims action seeking less than $100 in PIP benefits — Error to base dismissal in part on affirmative defense that medical provider did not bring action in good faith because it did not attempt to mitigate damages by reaching out to insurer before initiating litigation — PIP statute only requires that a claimant submit presuit demand letter, which provider did

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MERCURY INSURANCE COMPANY OF FLORIDA, Appellant, v. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, Appellee.

22 Fla. L. Weekly Supp. 688a

Online Reference: FLWSUPP 2206MER3Insurance — Personal injury protection — Coverage — Medical expenses — Emergency services — Deductible — Insurer acted improperly when it applied emergency provider’s bill to deductible — Deductible must first be applied to benefits paid to non-priority providers when both priority and non-priority providers seek payment of PIP benefits

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USAA GENERAL INDEMNITY COMPANY, Appellant, vs. EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, a/a/o Adriel Rodriguez, Appellee.

22 Fla. L. Weekly Supp. 341a

Online Reference: FLWSUPP 2203ARODNOT FINAL VERSION OF OPINION
Subsequent Changes at 22 Fla. L. Weekly Supp. 686aInsurance — Personal injury protection — Coverage — Emergency services — Deductible — No error in finding that, where both emergency service providers and other medical providers seek PIP benefits, deductible must be applied to benefits paid to other providers rather than those paid to emergency service providers

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DOC TONY WESTSIDE CHIROPRACTIC, LLC a/a/o Ada Santiago, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

22 Fla. L. Weekly Supp. 640a

Online Reference: FLWSUPP 2205SANTInsurance — Personal injury protection — Coverage — Emergency medical condition — Under amendments to PIP statute requiring PIP insurer to pay benefits up to $10,000 if qualified medical provider has determined that claimant had emergency medical condition and limiting reimbursement to $2,500 if qualified provider has determined that claimant did not have emergency medical condition, insurer properly limited benefits to $2,500 until qualified provider determined that insured suffered emergency medical condition — No merit to argument that insurer was required to pay benefits up to $10,000 unless there was determination of absence of emergency medical condition — Insurer’s payment of additional benefits after post-suit receipt of determination of emergency medical condition did not constitute confession of judgment entitling provider to attorney’s fees award

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EMERGENCY MEDICINE ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Eva Ponce, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 827b

Online Reference: FLWSUPP 2207PONCInsurance — Personal injury protection — Coverage — Emergency services — Deductible — Because insurer is mandated by statute to reserve $5,000 for emergency services providers, insurer should not have applied claim by plaintiff provider within that classification to deductible

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EMERGENCY PHYSICIANS OF CENTRAL FLORIDA, LLP, as assignee of Ebony Williams, Plaintiff, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

22 Fla. L. Weekly Supp. 728c

Online Reference: FLWSUPP 2206WILLInsurance — Personal injury protection — Coverage — Emergency services — Deductible — Because insurer is mandated by statute to reserve $5,000 for emergency service providers, insurer should not have applied claim by plaintiff provider within that classification to deductible — Insurer cannot dispute reasonableness of charge after it allowed full amount of charge when applying charge to deductible

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