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Florida Statute 627.6044 - Full Text and Legal Analysis Florida Statute 627.6044 | Lawyer Caselaw & Research
Fla. Stat. § 627.6044 (2026) Copy Cite Official Site Syfertize CourtListener Amendments
627.6044 Use of a specific methodology for payment of claims.—
(1) Each insurance policy that provides for payment of claims based on a specific methodology, including, but not limited to, usual and customary charges, reasonable and customary charges, or charges based upon the prevailing rate in the community, shall specify the formula or criteria used by the insurer in determining the amount to be paid.
(2) Each insurer issuing a policy that provides for payment of claims based on a specific methodology shall provide to an insured, upon her or his written request, an estimate of the amount the insurer will pay for a particular medical procedure or service. The estimate may be in the form of a range of payments or an average payment. The insurer may require the insured to provide detailed information regarding the procedure or service to be performed, including the procedure or service code number provided by the health care provider and the health care provider’s estimated charge. An insurer that provides an insured with a good faith estimate is not bound by the estimate. However, a pattern of providing estimates that vary significantly from the ultimate insurance payment constitutes a violation of this code.
History.—ss. 9, 12, ch. 91-296; ss. 55, 114, ch. 92-318; s. 340, ch. 97-102.
Note.—Former s. 627.6145.

Cases Citing F.S. 627.6044

Fla. Stat. § 627.6044 (2026) Copy Cite Official Site Syfertize CourtListener Amendments
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·Geico Gen. Ins. Co. v. Virtual Imaging Servs., Inc., 141 So. 3d 147 (Fla. 2013).

Cited 9 times | Published | Supreme Court of Florida | 38 Fla. L. Weekly Supp. 517, 2013 WL 3332385, 2013 Fla. LEXIS 1387

...section 627.736(5)(a)2. would never satisfy this reasonable medical expenses coverage mandate. In fact, that is the very reason we rephrased the certified question in this case. See supra note 3. . We reject Virtual Imaging's argument, however, that section 627.6044, Florida Statutes (2008), is relevant to our analysis in this case. Section 627.6044 is not part of the Florida Motor Vehicle No-Fault Law and does not apply to PIP insurance.
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Cited as authority(citing case) (2024)
phrase: "rule_authority"
Cited as authority(citing case) (2024)
phrase: "rule_authority"
Cited as authority(citing case) (2023)
phrase: "rule_authority"
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MRI Scan Ctr., Inc. v. Allstate Ins., 273 F. App'x 835 (11th Cir. 2008).

Published | Court of Appeals for the Eleventh Circuit

adjusted claims in violation of Florida Statute § 627.6044(1), which requires insurance policies to specify

This Florida statute resource is curated by an Orange Park personal injury and workers' comp lawyer, a Jacksonville, Florida personal injury and workers' compensation attorney (Florida Bar No. 39104). Attorney Syfert regularly works with Chapter 627 in the context of insurance coverage law and represents clients throughout Northeast Florida. For legal consultation, call 904-383-7448.