Since Tort Reform, insurance companies have been reducing medical bills for reasons that are not upheld by Florida law. I have seen this on many occasions in Explanations of Review.
Too many times, Examinations Under Oath (“EUOs”) are taken lightly by medical providers. Many times, medical providers have insureds show up to an EUO without preparation from an experienced attorney.
In the PIP world, insurance companies invest any money that they owe medical providers for outstanding medical bills. This can amount to millions of dollars in savings to insurance companies
The Florida Legislature’s passage of HB 837 which was the so-called “tort reform” that went into effect on March 24, 2023 eliminated an insured’s rights to attorney’s fees under FS
The presumption of prejudice can be shattered if the medical provider can present evidence that the insurance company’s investigation was not destroyed. Many times insurance companies like to make medical
Both chiropractors and orthopedic surgeons alike will perform manual muscle testing billed under either CPT codes 95851 or 95832 along with a 99205, 99204 or 99203 office visits. Insurance companies
Most insurance companies do not understand what triggers an insured’s appearance to an examination under oath or giving a statement. One of an insurance company’s favorite methods of wiggling out
PIP payout logs can be invaluable tools to determine whether benefits are exhausted or if an insurance company has paid medical providers the correct amount of interest and medical bills.
In a recent decision, the Florida Supreme Court actually strengthened the billed amount statute of FS §627.736(5)(a)(5) which states: “An insurer may limit payment as authorized by this paragraph only
I have noticed recently an alarming high rate of PIP claims being denied by various insurance companies based on a patient not receiving treatment within 14 days of the date
