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Volume 24

Case Search

PAN AM DIAGNOSTIC SERVICES, INC., d/b/a WIDE OPEN MRI, a/a/o Hudland Clarke, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 969b

Online Reference: FLWSUPP 2411CLARInsurance — Personal injury protection — Coverage — Medical expenses — PIP policy providing that insurer will pay 80% of reasonable expenses, but also providing that in no event will insurer pay more than 80% of No-Fault Act schedule of maximum charges, provides clear and unambiguous notice of intent to limit reimbursement to permissive statutory fee schedule

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BOFSHEVER WELLNESS CENTER, LLC (Assignee of Polycarpe, Hermana), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant

24 Fla. L. Weekly Supp. 969a

Online Reference: FLWSUPP 2411POLYInsurance — Personal injury protection — Coverage — Medical expenses — PIP policy providing that insurer will pay 80% of reasonable medical expenses and also providing that in no event will insurer pay more than 80% of No-Fault Act schedule of maximum charges provides clear and unambiguous notice of intent to limit reimbursement to permissive statutory fee schedule

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LAKE WORTH CHIRO. ASSOC., INC., d/b/a CHIRO ASSOC. OF LAKE WORTH, a/a/o Ana Hernandez, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 964a

Online Reference: FLWSUPP 2411HERNInsurance — Personal injury protection — Coverage — Medical expenses — Insurer could limit reimbursement to schedule of maximum charges found in PIP statute where insurer advised insured that in no event will it pay more than 80% of schedule of maximum charges

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FIRST COAST MEDICAL CENTER, INC., a/a/o Breaunee Price, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 962a

Online Reference: FLWSUPP 2411PRICInsurance — Personal injury protection — Coverage — Medical expenses — Statutory fee schedules — Clear and unambiguous election — PIP policy that states that insurer will limit reimbursement to 80% of properly billed and documented reasonable charge and also reserves the right to make a reasonableness challenge to any charges, services or expenses provided legally sufficient notice of intent to limit reimbursement to statutory fee schedule, even though policy clearly commingles payment methodologies in PIP statute

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RICHARD W. MERRITT, D.C., P.A., (assignee of Wilkinson, Marilyn), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

24 Fla. L. Weekly Supp. 961a

Online Reference: FLWSUPP 2411WILKInsurance — Personal injury protection — Coverage — Medical expenses — PIP policy that states that insurer will limit reimbursement to 80% of properly billed and documented reasonable charge but in no event will pay more than 80% of schedule of maximum charges provided legally sufficient notice of election to limit reimbursement to statutory fee schedule

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ORTEGA CHIROPRACTIC CORP., a/a/o Robert and Lisa Palmer, A FLORIDA CORPORATION, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, INC., A FOREIGN CORPORATION, Defendant.

24 Fla. L. Weekly Supp. 828c

Online Reference: FLWSUPP 2410PALMInsurance — Personal injury protection — Coverage — Medical expenses — Statutory fee schedules — Policy clearly and unambiguously permitted insurer to limit reimbursement by reference to schedule of maximum charges — Insurer paid charges submitted by provider at appropriate reimbursable amount pursuant to policy

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