State Farm v. 55443
In State Farm v. 55443 filed in 2006, State Farm claimed that a PTP was taking place. State Farm obtained a copy of the pre-determined treatment protocol (smoking gun that every patient received the same care). While there is a “disclaimer” that this protocol is not for every patient, almost all of the patients all received this exact protocol.
DISCLAIMER
This is based on a real court case that was previously filed against a medical provider/doctor. The case number has been partially redacted and names have been changed to protect the Defendants’ names. This example is posted to help educate others on the laws and potential pitfalls. This posting is not intended to embarrass or defame anyone. I have limited the information and simplified some of the facts in the lawsuit to reflect key points and make a complicated case easier to understand. This “example” is directly from a complaint filed by an insurance company, therefore, I am using the facts THEY presented. There are always two sides to a story so please understand this is just one side of the story. This information was found through records available to the public.