Volume 26

Case Search

JAMES D. SHORTT, M.D., P.A., etc., Appellant, v. HARTFORD INSURANCE COMPANY OF THE MIDWEST, Appellee.

26 Fla. L. Weekly Supp. 6a

Online Reference: FLWSUPP 2601SHORInsurance — Personal injury protection — Trial court did not err in dismissing second PIP lawsuit brought by provider/assignee against insurer — Statute requires a claimant seeking PIP benefits to bring all claims related to same provider for same injured person to be brought in one action unless good cause is shown why claims should be brought separately

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SOUTH BROWARD HOSPITAL DISTRICT D/B/A MEMORIAL HOSPITAL MIRAMAR, a/a/o Henry Alvarado, Plaintiff, v. ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, Defendant.

26 Fla. L. Weekly Supp. 433a

Online Reference: FLWSUPP 2605SOUTInsurance — Personal injury protection — Discovery — Motion for rehearing of order granting insurer’s motion for protective order regarding discovery related to proper application of policy deductible is denied — Amount pled in complaint, insurer’s undisputed calculation of amount at issue, and medical provider’s statement that it was disputing whether statutory fee schedule was properly incorporated in policy show that complaint does not encompass claim for damages for improperly applied deductible

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FLORIDA INJURY KISSIMMEE, LLC, a/a/o Avonda Perry, Plaintiff, v. UNITED SERVICES AUTOMOBILE ASSOCIATION aka USAA, Defendant.

26 Fla. L. Weekly Supp. 119b

Online Reference: FLWSUPP 2602PERRInsurance — Personal injury protection — Demand letter — Sufficiency — By attaching itemized statement to demand letter, medical provider satisfied requirements of section 627.736(10) — Further, insurer waived right to raise defense of defective demand letter by failing to raised alleged deficiencies in letter before suit was filed

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LA FAMILIA MEDICAL CENTER a/a/o Luis Gato, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendant.

26 Fla. L. Weekly Supp. 37a

Online Reference: FLWSUPP 2601GATOInsurance — Personal injury protection — Demand letter — Sufficiency — PIP statute does not require that demand letter account for prior payments made by insurer — Holding litigants to high standard for demand letter specificity suggested by insurer would result in denial of access to courts

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INJURY TREATMENT CENTER OF FORT MYERS, INC., a/a/o Lozano-Quintero, Francisco, v. GARRISON PROPERTY & CASUALTY INSURANCE COMPANY.

26 Fla. L. Weekly Supp. 518a

Online Reference: FLWSUPP 2606LOZAInsurance — Personal injury protection — Demand letter — Validity — No merit to insurer’s contention that demand letter sent before medical provider had responded to insurer’s request for additional documentation of claim was premature where request for documentation was made more than 30 days after insurer’s receipt of provider’s bills — No merit to argument that bills failed to give notice of covered loss and trigger 30-day requirement to pay because they were not accompanied by supporting medical records — Argument that demand letter was deficient for failing to account for payments made by insurer fails where insurer failed to present evidence that provider received any payments before sending letter — Where insurer paid some of charges included in demand letter, provider was not required to send second demand letter before filing suit for those charges that were denied or reduced — No merit to argument that demand letter was invalid for being sent to wrong insurer and naming person previously named to receive demand letters rather than currently designated person where letter was sent to insurer’s umbrella company, which processes insurer’s demand letters, and there is no question that letter was actually received and timely responded to be insurer

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