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How a 2018 Ruling Changed PIP Insurance in FL (for the Better)

by Marius Ged, on Sep 17, 2020 7:49:00 PM

FL court gavel

On December 28, 2018, Florida's Supreme Court issued a ruling that significantly changed personal insurance protection (PIP) law  in the Sunshine State - for the better. 

This ruling made a direct impact on the manner in which insurance providers were allowed to apply deductibles to personal injury protection (PIP) medical claims.

In doing so, this ruling meant that many health care providers may be owed monies from the insurance company due to underpaid or unpaid PIP claims. 

Let's take a closer look at the 2018 ruling that changed PIP insurance in FL for the better as well as how Ged Lawyers makes it easy for attorneys to refer claims and generate an extra stream of revenue with minimal effort. 

A Closer Look at the 2018 Court Ruling

empty courtroomPrior to the ruling administered by the Florida Supreme Court, insurance companies regularly practiced lowering medical charges based on the PIP fee schedule prior to applying the deductible. And this relatively controversial practice raised concerns. Instead, insurers should have utilized the PIP deductible against the total charges, which would've paid off more of the holistic medical bill and paid medical providers their full amount.

In an Orange County case, the Florida Supreme Court upheld a ruling against Progressive Select and in favor of Florida Hospital by the 5th District Court of Appeal. This court agreed that the deductible should be applied to the total charge, which forced Progressive to pay more in this case. And the implications of the case tilted the scales more toward assisting patients and medical providers — instead of insurance companies. 

More so, this ruling means that patients and medical providers are more likely to have monies owed to them for the different PIP claims filed over the previous five years. Based on the ruling, the following medical facilities may be owed monies:

  • ER doctors 
  • Hospitals 
  • Surgeons
  • MRI centers
  • Physical therapy rehab centers
  • Chiropractors 
  • Clinics

How Can Medical Providers File PIP Claims Under the Ruling? 

Hospital OfficeUnfortunately, insurance carriers aren't going to inform medical providers of any monies owed and payout the funds accordingly. It's up to healthcare providers and their attorneys to provide the right documentation, navigate the process, and claim the funds owed. However, processing PIP claims can be extremely time-consuming and expensive for medical facilities and law firms. A single case may require the examination of hundreds of documents! 

In short, demand letters must be filed and tracked. Even then, litigation with insurance company representatives can take several months, if not years, of time for legal professionals. Although most medical providers will have databases and cabinets loaded with underpaid or unpaid claims, it's often not worth it for attorneys to litigate these claims. 

To properly take advantage of this monumental reserve of untapped opportunity, law firms must have a reliable, simple option to refer these cases. This is where Ged Lawyers comes in. 

Generate PIP Claim Revenue without the Headache

Financial Report GraphDue to the inherent inefficiencies associated with the process of handling personal injury protection cases, the attorneys at Ged Lawyers created a streamlined system for attorneys to refer any unpaid or underpaid PIP Claims. 

Ged Lawyers offers a digitally-driven, simple process that allows attorneys to refer PIP claims and increase revenue.

Through this system,  we have already helped recover millions of dollars owed to medical providers. Here's how our system for attorneys:

  1. Contact Ged Lawyers for a virtual appointment. During the session, we will gather all of the necessary information to determine if we should move forward. One of our attorneys will explain the process and answer any questions you may have
  2. We will send you the referral agreement explaining all contractual details between our firm and yours. Next, our team will set up your portal account, so you can effortlessly track the funds recovery process, your attorney's fees, and the medical benefits your preferred provider should've received. 
  3. Once retained, we will work directly with the referred medical provider to complete the process and recover the monies owed.
  4. After settling the case, you'll receive a 25% referral fee (on litigated cases) via the method of your choice.

It's that easy! If you're looking to generate a stream of revenue, our patented system makes the process as easy as possible.

Get started today and reach out to Ged Lawyers to learn more! 

Topics:Service Benefits

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