The Florida Supreme Court has agreed to hear an appeal by a large auto insurer in a dispute about fees paid to health providers who treated patients injured in motor vehicle accidents. The case will be heard after the 4th District Court of Appeals ruled last year in favor of the medical providers.
That ruling, which involved 32 consolidated cases, involves the state’s personal injury protection (PIP) insurance system, commonly referred to as “No Fault.” The key issue in these matters is whether the policies were clear that the insurer would reimburse the providers under a fee schedule from the Medicare program, which includes limits on payments for various services.
The providers argued that the policies were ambiguous on this issue, and a majority of the 4th District Court of Appeal judges agreed.
Florida’s PIP system requires motorists to carry minimum levels of coverage to help pay medical bills after accidents regardless of who is at fault.
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