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Northwoods Sports Medicine and Physical Rehabilitation, Inc., and Wellness Associates of Florida, Inc. v. State Farm Mutual Automobile Insurance Company and USAA Casualty Insurance Company was decided on March 5, 2014. “Northwoods” shocked the PIP world, as the 4th District Court of Appeals determined that benefits are exhausted whether the
Today we experienced a historic moment in Florida Personal Injury Protection law. The 4th District Court of Appeals (4th DCA) ruled in favor of Medical Providers across the State of Florida. Allstate has lost the year-long battle at the District Court of Appeal level. Your clinic may be entitled to
State Farm, GEICO, and many other PIP insurance carriers are improperly reducing your bills for medically necessary services/care you provide. Your medical practice may have claims in need of review due to these incorrect reimbursements. Insurance carriers are coding your medical bills with strange Medicare reductions without notifying the insured
A class action settlement against Direct General Insurance Company was filed in the United States District Court for the Middle District of Florida. Any Medical Provider that submitted bills to Direct General on or after January 1, 2008, is entitled to join the class. You are entitled to receive
On April 30, 2015 the 11th Judicial Circuit in and for Miami-Dade County held that State Farm’s policy failed to clearly elect the use of the multiple procedure payment reduction rule. The Honorable Judge Linda Singer Stein opined that State Farm’s policy and procedures were vague and ambiguous as to
Personal Injury Protection (PIP) is still a viable source of income for most medical providers. The recent changes to the PIP law have contributed to a dynamic litigation climate. PIP insurers are looking to this new statute to avoid paying claims. However, do not fear, you may still recover what’s
