Volume 24

Case Search

CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC. D/B/A TOTAL MD a/a/o Allan Ocampo, Plaintiff, v. PROGRESSIVE SELECT INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 726a

Online Reference: FLWSUPP 2409OCAMInsurance — Personal injury protection — Standing — Assignment — Validity — Assignment executed by insured prior to date of accident did not confer standing on medical provider to file suit for benefits related to accident — Lack of standing cannot be cured after suit is filed

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EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Christopher Griffith, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 61a

Online Reference: FLWSUPP 2401GRIFInsurance — Personal injury protection — Coverage — Emergency services — Deductible — Where insurer received bills from other medical providers prior to bill from plaintiff emergency service provider, insurer should have applied deductible to other providers’ bills, thereby extinguishing deductible before payment of plaintiff’s bill — No merit to argument that because insurer is mandated by statute to reserve $5,000 for emergency service providers deductible was properly applied to plaintiff’s bill as “first compensable bill” even though plaintiff’s bill was fourth bill received — Insurer cannot dispute reasonableness of charge or relatedness and medical necessity of services after it allowed full amount of charge when applying charge to deductible and conceded reasonableness, relatedness and necessity at deposition of its corporate representative — Standing — Assignment — Document assigning insured’s rights, benefits and causes of action to plaintiff provider conferred standing on plaintiff

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EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, L.L.C., as assignee of Maximilian Galindo, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant.

24 Fla. L. Weekly Supp. 57a

Online Reference: FLWSUPP 2401GALIInsurance — Personal injury protection — Coverage — Emergency services — Deductible — Insurer improperly processed medical bills out of order by applying deductible to bill from emergency service provider, which was third bill received, instead of applying deductible to bills in order received

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UNITED WATER RESTORATION GROUP, INC., a/a/o Donald Knight, Appellant, v. HOMEOWNER’S CHOICE PROPERTY & CASUALTY INSURANCE CO., Appellee.

24 Fla. L. Weekly Supp. 91a

Online Reference: FLWSUPP 2402KNIGInsurance — Homeowners — Post-loss assignment — Trial court erred in finding that insured was precluded from assigning benefits of homeowners policy to emergency water mitigation company without consent of insurer — Trial court erred in finding that assignment was invalid because it was executed before loss was reported to insurer — Insured has vested insurable interest at time of loss — No merit to argument that partial assignment that transfers less than all rights under policy to assignee and is made in name of only one of several insureds is invalid — Assignment does not violate statute prohibiting licensed contractor from adjusting claim

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