Volume 23

23 Fla. L. Weekly Supp. 67a

Online Reference: FLWSUPP 2301ARODInsurance — Personal injury protection — Discovery — Documents — Trade secrets — Although contracts between medical provider and HMO/PPO carriers are trade secrets, reimbursement amounts contained in contracts are not — Provider is directed to reveal reimbursement amounts without identifying carriers involved — Provider is also directed to produce information on any patient’s payment of 20% co-payment for CPT codes at issue without revealing any patient information

23 Fla. L. Weekly Supp. 632a

Online Reference: FLWSUPP 2306GONZInsurance — Discovery — Interrogatories — Objections to interrogatories regarding identity of person who made decision to sue insurer, other suits to which provider is party, average amount accepted by provider as full and final payment for CPT codes at issue for six-month period surrounding dates of service, identity of other entities that provider billed for CPT codes at issue in six-month period and payments accepted from those providers, calculation and payment of 20% co-payment, billing procedures and receipt of letter of protection are sustained — Documents — Objections to requests to produce documentation regarding payments accepted from other payors, amounts billed to other payors, identity and credentials of persons who participated in setting provider’s fee schedule or pricing, evidence of methods of setting fees and ensuring that they comport with laws and guidelines, contracts between provider and other payors and letters of protection are sustained — Provider is required to produce schedules indicating fees that it considers to be within usual and customary range for CPT codes at issue

23 Fla. L. Weekly Supp. 639b

Online Reference: FLWSUPP 2306CABRInsurance — Personal injury protection — Discovery — Insurer is not entitled to discover agreements reflecting amounts accepted by medical provider as reimbursement from any payor, but must produce matrix reflecting amounts accepted for CPT codes at issue for six months surrounding dates of service and identifying payors by category and number — Provider need not produce documents evidencing amount, method of payment, and date of any patient’s 20% co-payment for CPT codes at issue

23 Fla. L. Weekly Supp. 368a

Online Reference: FLWSUPP 2304MURRInsurance — Discovery — Documents — Insurer is directed to produce report including every claim from medical providers in geozip for CPT codes at issue for six months surrounding dates of service

23 Fla. L. Weekly Supp. 187a

Online Reference: FLWSUPP 2302WASEInsurance — Discovery — Insurer is required to produce geozips for CPT codes at issue for 60 days before and after dates of service and all recommended reimbursements it has paid to MRI providers in that period for CPT codes at issue that are equal to or higher than 80% of medical provider’s charge

23 Fla. L. Weekly Supp. 188d

Online Reference: FLWSUPP 2302DHOPInsurance — Discovery — Insurer is required to produce geozips for CPT codes at issue for 60 days before and after dates of service and all recommended reimbursements it has paid to MRI providers in that period for CPT codes at issue that are equal to or higher than 80% of medical provider’s charge

23 Fla. L. Weekly Supp. 188c

Online Reference: FLWSUPP 2302HOPEInsurance — Discovery — Insurer is directed to produce geozips and decision point litigation reports

23 Fla. L. Weekly Supp. 188b

Online Reference: FLWSUPP 2302KOGAInsurance — Discovery — Insurer is required to produce geozips for CPT codes at issue for 60 days before and after dates of service and all recommended reimbursements it has paid to MRI providers in that period for CPT codes at issue that are equal to or higher than 80% of medical provider’s charge

23 Fla. L. Weekly Supp. 188a

Online Reference: FLWSUPP 2302LEITInsurance — Discovery — Insurer is required to produce geozips for CPT codes at issue for 60 days before and after dates of service and all recommended reimbursements it has paid to MRI providers in that period for CPT codes at issue that are equal to or higher than 80% of medical provider’s charge

23 Fla. L. Weekly Supp. 187c

Online Reference: FLWSUPP 2302SANDInsurance — Discovery — Insurer is required to produce geozips for CPT codes at issue for 60 days before and after dates of service and all recommended reimbursements it has paid to MRI providers in that period for CPT codes at issue that are equal to or higher than 80% of medical provider’s charge