Volume 9

9 Fla. L. Weekly Supp. 131a

Insurance — Personal injury protection — Standing — Plaintiff which did not perform necessary medical services and is not a “physician, hospital, clinic, or other person or institution lawfully rendering treatment to an injured person for a bodily injury covered by PIP insurance” is not entitled to payment for MRI services from insurer or insured

9 Fla. L. Weekly Supp. 130b

Insurance — Personal injury protection — Plaintiff is not entitled to recover PIP benefits for magnetic resonance imaging services allegedly provided to insured, where MRIs were administered by plaintiff’s independent contractor, and it is undisputed that plaintiff did not render treatment to insured

9 Fla. L. Weekly Supp. 723b

Insurance — Personal injury protection — Preferred provider rates — Section 627.736(10) provides the exclusive means by which an insurer can contract to pay PPO rates on Florida PIP claims — Assignee’s motion for partial summary judgment granted as to affirmative defenses based on alleged PPO contract where there is no evidence that insurer strictly complied with statute

9 Fla. L. Weekly Supp. 871a

Insurance — Personal injury protection — Preferred provider rates — Motion for partial summary judgment as to whether insurer can enter into PPO business relationships is denied where ruling on motion would be tantamount to an advisory opinion

9 Fla. L. Weekly Supp. 867c

Insurance — Personal injury protection — Preferred provider rates — Insurer may not reduce fees payable to medical provider because provider entered into contract with PPO organization to accept reduced rates payable under PPO policy where medical provider is assignee of insured, and insured did not have a PPO policy — Question certified: May an insurance company reduce fees payable to a doctor for medical care because the treating physician entered into a contract with a PPO organization to accept the reduced fees payable under a PPO policy, even though the patient treated did not have a PPO policy and the physician took an assignment of the insured’s rights under the policy in return for treatment?

9 Fla. L. Weekly Supp. 629b

Insurance — Personal injury protection — Preferred provider rates — Insurer could not reduce benefits paid to insured’s assignee to PPO rates as it did not have a PPO policy as required by statute

9 Fla. L. Weekly Supp. 779a

Insurance — Personal injury protection — Preferred provider rates — Section 627.736(10) provides the exclusive means by which an insurer can contract to pay PPO rates on Florida PIP claims — Assignee’s motion for partial summary judgment granted as to affirmative defenses based on alleged PPO contract where insurer failed to enter into contract directly with assignee, failed to provide an option to insured to use a PPO policy, and failed to provide insured with a current roster of preferred providers in the county where she resided at the time of purchase of the PIP policy

9 Fla. L. Weekly Supp. 775a

Insurance — Personal injury protection — Preferred provider rates — Section 627.736(10) provides the exclusive means by which an insurer can contract to pay PPO rates on Florida PIP claims — Assignee’s motion for partial summary judgment granted as to affirmative defenses based on alleged PPO contract where insurer failed to enter into contract directly with assignee, failed to provide an option to insured to use a PPO policy, and failed to provide insured with a current roster of preferred providers in the county where she resided at the time of purchase of the PIP policy

9 Fla. L. Weekly Supp. 773a

Insurance — Personal injury protection — Insurer was not entitled to utilize contractual agreement with third party to determine reasonable and necessary charges without offering, and insured electing, a PPO policy or endorsement

9 Fla. L. Weekly Supp. 771a

Insurance — Personal injury protection — Insurer was not entitled to utilize contractual rate agreement with third party to determine reasonable and necessary charges without offering, and insured electing, a PPO policy or endorsement