Volume 27

Case Search

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner, v. ALTAMONTE SPRINGS DIAGNOSTIC IMAGING, INC., d/b/a PREMIER MEDICAL IMAGING, as assignee of Ovidio Arnaiz, Respondent.

27 Fla. L. Weekly Supp. 667a

Online Reference: FLWSUPP 2708ARNAInsurance — Personal injury protection — Discovery — Appeals — Certiorari — Petitions seeking certiorari review of orders that merely require in camera review of documents and do not order production of those documents to opposing party are dismissed as premature

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OPTIMUM ORTHOPEDICS & SPINE, LLC. a/a/o Deborah Marley, Plaintiff, v. USAA GENERAL INDEMNITY COMPANY, Defendant.

27 Fla. L. Weekly Supp. 296a

Online Reference: FLWSUPP 2703DMARInsurance — Personal injury protection — Demand letter — Sufficiency — Demand letter with attached itemized statement complied with PIP statute — No merit to claim that demand letter was premature because provider did not respond to insurer’s request for documentation where explanation of reimbursement that disputed timeliness of bills but did not request any documentation regarding reasonableness charges or necessity of treatment is not valid request and, even if valid, request that was issued more than 30 days after receipt of bills was untimely — No merit to claim that demand letter is premature because insurer did not receive bills for all charges demanded where it is only relevant that provider sent bills, not whether insurer received bills, and record shows that insurer did receive bills

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PROFESSIONAL MEDICAL BUILDING GROUP, INC. a/a/o Manuel Prado, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

27 Fla. L. Weekly Supp. 646b

Online Reference: FLWSUPP 2707PRADInsurance — Personal injury protection — Demand letter — Demand letter defense is not appropriate for summary judgment where insurer raised invalid demand letter defense in initial answer, but failed to raise defense in second answer and filed notice of withdrawal of demand letter defense — Insurer’s motion for leave to amend affirmative defenses to include demand letter defense is denied without prejudice

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SPINE CORRECTION F/K/A ALIGNLIFE a/a/o Griselda Rubio, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

27 Fla. L. Weekly Supp. 974a

Online Reference: FLWSUPP 2711RUBIInsurance — Personal injury protection — Coverage — Medical expenses — Demand letter — Sufficiency — Demand letter is required to strictly comply with requirements of section 627.736(10) — Where there are inconsistencies between amount demanded in letter and amount due reflected in attached ledger, letter does not strictly or substantially comply with statutory requirements — Insurer did not waive defenses based on demand letter where insurer explicitly reserved right to raise additional defenses in response to letter — Dismissal of action, not abatement, is appropriate remedy for deficient demand letter

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REESE CHIROPRACTIC CENTER d/b/a GREGG T. REESE DC, PA, a/a/o Stephen Spiegel, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

27 Fla. L. Weekly Supp. 93a

Online Reference: FLWSUPP 2701SPIEInsurance — Personal injury protection — Demand letter — Sufficiency — PIP statute does not require that demand letter state exact amount owed by insurer — Letter that identified provider and insured, stated that it was seeking medical benefits, and included an assignment of benefits and billing ledger that specified each date of service, service provided, and amount billed complied with statute

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