Syfert Injury Law Firm

Baker County Medical Services, Inc. v. Aetna Health Management, LLC

Court: Fla. Dist. Ct. App. | Date Filed: 2010-02-24T00:00:00-08:00

Citation: 31 So. 3d 842, 2010 Fla. App. LEXIS 2089, 2010 WL 624192

Snippet: Section 641.513(5) is a question of fact. * * * 4. The Court finds that in Section 641.513(5), Florida …appeals a final judgment interpreting section 641.513(5)(b), Florida Statutes (2006). BCMS raises two issues…that the term "provider" in section 641.513(5)(b) is not limited to any specific type of provider…customary provider charges" in section 641.513(5)(b) includes consideration of the amounts billed…hospital is determined according to section 641.513(5), Florida Statutes (2006), which provides: Reimbursement

Neighborhood Health Partnership, Inc. v. Merkle

Court: Fla. Dist. Ct. App. | Date Filed: 2009-04-15T00:00:00-07:00

Citation: 8 So. 3d 1180, 2009 Fla. App. LEXIS 3182, 2009 WL 996406

Snippet: providers objected, arguing they are entitled by § 641.513(5)[2] to be paid at "the usual and customary …prior decision in this dispute, we held that § 641.513(5) affords the providers a private right of action…1991." [c.o.] 632 So.2d at 1380. [2] § 641.513(5), Fla. Stat. (2008). [3] See Adventist Health System…specific payment amounts would comply with section 641.513(5)(b)....'"). [4] See Stuart M. Gerson

Baycare Health System, Inc. v. AHCA

Court: Fla. Dist. Ct. App. | Date Filed: 2006-10-27T00:53:00-07:00

Citation: 940 So. 2d 563

Snippet: reimbursement rates are established by section 641.513(5), Florida Statutes (2002); and (3) all other patients…The parties agreed that pursuant to section 641.513(5)(a)-(b), Florida Statutes (2002), Baycare was entitled…third-party organization to interpret section 641.513(5)(a)-(b) and to apply that interpretation to a large… of other hospitals, as required by section 641.513(5)(a)-(b). As such, Maximus CHDR recommended that …and customary charges," violated section 641.513(5) and breached the insurance contracts between Health

Merkle v. Health Options, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 2006-10-18T00:53:00-07:00

Citation: 940 So. 2d 1190

Snippet: 641.513(5) and for declaratory relief fail to state a cause of action because section 641.513(5) does…in each complaint: (1) violations of section 641.513(5), Florida Statutes (2003), (2) unjust enrichment…641.513(2), Fla. Stat. (2003). However, section 641.513(5), Florida Statutes (2003), dictates how an HMO must…copayment authorized pursuant to subsection (4). § 641.513(5), Fla. Stat. (2003). Specifically, Merkle claimed…beginning in 2003, the HMOs violated section 641.513(5) by paying class members "artificially reduced

Adventist Health System/Sunbelt, Inc. v. Blue Cross

Court: Fla. Dist. Ct. App. | Date Filed: 2006-07-21T00:53:00-07:00

Citation: 934 So. 2d 602

Snippet: complaint seeking an interpretation of section 641.513(5)(b), Florida Statutes (2005). That statute requires… the services were provided . . . ." § 641.513(5)(b), Fla. Stat. (2005). We hold that Florida Hospital… granted judgment on the pleadings. Section 641.513(5), Florida Statutes (2005), provides: (5) Reimbursement…Conversely, Florida Hospital contends that section 641.513(5) requires that Health Options pay Florida Hospital…specific payment amounts would comply with Section 641.513(5)(b), Florida Statutes...." Instead, the AHCA

Ago

Court: Fla. Att'y Gen. | Date Filed: 1987-04-14T00:53:00-07:00

Snippet: rules promulgated thereunder complied with. See, s. 513.05, F.S.; Ch. 10D-26, F.A.C. You have stated that

State Ex Rel. Gore Newspapers Company v. Tyson

Court: Fla. Dist. Ct. App. | Date Filed: 1975-05-16T00:53:00-07:00

Citation: 313 So. 2d 777

Snippet: therefore be justified. 62 A.L.R.2d, supra, at p. 513. [5] See Sec. 742.031, F.S. (bastardy proceedings)

Ago

Court: Fla. Att'y Gen. | Date Filed: 1974-10-24T00:53:00-07:00

Snippet: Rehabilitative Services adopted under the authority of ss. 513.05 and 381.031, F.S., do not apply to parking lots…in connection with a related business. Under s. 513.05, F.S., the Division of Health is given general … public." Pursuant to the authority of ss. 513.05 and 381.031, supra, the division adopted Chapter

Stephens v. BOARD OF COUNTY COM'RS OF OKALOOSA CTY.

Court: Fla. | Date Filed: 1973-05-09T00:53:00-07:00

Citation: 278 So. 2d 269

Snippet: Health (promulgated under authority of Fla. Stat. § 513.05, F.S.A.) as to deprive it of due process of law

Isaacs v. Powell

Court: Fla. Dist. Ct. App. | Date Filed: 1972-10-04T00:53:00-07:00

Citation: 267 So. 2d 864

Snippet: A.L.R.3d, 618, 622. [4] See, Prosser, n. 2, at p. 513. [5] This section provides, in pertinent part: "

Grove v. Sanford Mobile Park, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 1968-06-28T00:00:00-07:00

Citation: 212 So. 2d 34, 1968 Fla. App. LEXIS 5233

Snippet: Health under the authority of F.S.1965, Section 513.05, F.S.A. Apparently, without objection of any party

McCoy v. State

Court: Fla. Dist. Ct. App. | Date Filed: 1965-05-14T00:53:00-07:00

Citation: 175 So. 2d 588

Snippet: State, supra, 76 Fla. 421, 440-442, 80 So. 506, 512-513.[5]*591 Since McCoy did not surrender, flee or otherwise