One issue that can arise in PIP claims is a denial based on an allegation that certain billed services were not actually rendered. This often develops after the insurance company conducts an Examination Under Oath (EUO)of its insured. During the EUO, the insured may be asked to identify or describe the specific services performed by […]
Florida PIP providers must pay close attention to how they bill medical services. Recent Florida Supreme Court case law confirms that billing below the Medicare fee schedule directly reduces what you get paid, even when the insurer has elected to use the statutory fee schedule. The Florida Supreme Court decision in Allstate Insurance Company v. […]
The Provider’s Billing Deadline: 35 Days Under Florida PIP rules, medical providers must submit their bills within 35 days of the date of service, unless they qualify for the extended 75-day timeframe. This 35-day deadline is strict for providers who do not submit an NIT. ✔ Bill submitted within 35 days → Claim is valid […]
