The 2024 Florida Statutes
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. . . . § 641.513(5). . . . Stat. §§ 641.513(5) and 627.64194. . . . Stat. §§ 641.513(5), 641.3155(3), 627.6131(4)(b), and 627.64194. . . . Stat. § 641.513(5). . . . Stat. § 641.513(5). . . .
. . . . § 641.513(5). . . . Stat. §§ 641.513(5) and 627.64194. . . . Florida Statutes in each of the initial Complaints-(i) § 641.3155(6) ; (ii) § 627.6131(7) ; (iii) § 641.513 . . .
. . . Granted, the Plaintiffs here do not assert claims under section 641.513, but they do rely on that provision . . .
. . . .' § 641.513(5); (Compl. ¶-3). . . . Stat, § 641.513(5). . . . (3) was unjustly enriched (Count 3) (see id. ¶¶ 79-87)—all in violation of Florida Statute section 641.513 . . . Other courts have similarly determined section 641.513(5) claims do not implicate ERISA plans. . . . Nov. 8, 2007) (finding assignment of benefits was irrelevant to plaintiffs section 641.513(5) claim, . . .
. . . (BCMS), appeals a final judgment interpreting section 641.513(5)(b), Florida Statutes (2006). . . . First, BCMS argues that the trial court erred in ruling that the term “provider” in section 641.513(5 . . . that the trial court erred in ruling that the phrase “usual and customary provider charges” in section 641.513 . . . Section 641.513(5) is contained in part III of chapter 641, entitled “Health Care Services.” . . . The term “charges” is not defined in section 641.513(5). . . .
. . . Some of these non-contract providers objected, arguing they are entitled by § 641.513(5) to be paid at . . . In our prior decision in this dispute, we held that § 641.513(5) affords the providers a private right . . . [c.o.] 632 So.2d at 1380. . § 641.513(5), Fla. Stat. (2008). . . . . specific rule making authority to determine what specific payment amounts would comply with section 641.513 . . .
. . . 2002); (2) patients seeking emergency care, for whom reimbursement rates are established by section 641.513 . . . The parties agreed that pursuant to section 641.513(5)(a)-(b), Florida Statutes (2002), Baycare was entitled . . . and thus the equivalent of the “usual and customary” rates of other hospitals, as required by section 641.513 . . . of Medicare reimbursement rates as the equivalent of “usual and customary charges,” violated section 641.513 . . . the AHCA, and the First District, that Health Options’ reimbursement formula is invalid under section 641.513 . . .
. . . contract and ... where and in what manner the comprehensive health care services may be obtained”); § 641.513 . . .
. . . See § 641.513(2), Fla. Stat. (2003). . . . No private right of action exists under section 641.513(5). 2. . . . Section 641.513(5), at issue in this case, is not part of the HMO Act. . . . See § 641.513(2), Fla. . . . Merkle contends that sections 641.513(2) and 641.513(5) create an implied agreement between Merkle and . . .
. . . hereinafter “Florida Hospital”) declaratory judgment complaint seeking an interpretation of section 641.513 . . . Section 641.513(5), Florida Statutes (2005), provides: (5) Reimbursement for services pursuant to this . . . Conversely, Florida Hospital contends that section 641.513(5) requires that Health Options pay Florida . . . specific rule making authority to determine what specific payment amounts would comply with Section 641.513 . . .
. . . services provided to Medicaid HMO enroll-ees pursuant to the provisions of sections 409.9128(5) and 641.513 . . . Baker sought declaratory and injunctive relief, alleging that the operation of sections 409.9128(5) and 641.513 . . . Section 641.513(6), Florida Statutes, provides: Reimbursement for services under this section provided . . .