Joslyn Restivo

May 23, 2024 | Daily Business Review

The "billed amount" issue deals with both policy language and Section 627.736(5)(a)(5) of the PIP statute. In plain language, the issue can be summarized as whether an insurer is eligible to reimburse a bill at 80% of the amount billed when that amount is less than 200% of the Medicare fee schedule rate for the corresponding year for which the service was rendered.

By Oner J. Kiziltan and Joslyn Restivo

8 minute read