Case Result

PIP Medical Reimbursement Dispute

2024
Trial Verdict
Dania Beach, FL

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Case Details

Fourth District Court of Appeal ruled that PIP insurers must reimburse medical providers for services without established fee schedule amounts (Code S9088) if a methodology for determining reimbursement exists, affirming lower court decisions in Safeco Insurance Company of Illinois v. MD Now Medical Centers, Inc. and related cases.

Additional Notes

Decision is a winner for medical providers who had services denied because the code billed did not have an established reimbursement amount under Medicare or Florida Workers’ Compensation.

Florida Advocates

Represented By

Florida Advocates

Dania Beach, FL
4.80 rating (23 reviews)
10 attorneys
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