MEDICAL CTR. OF PALM BEACHES v. USAA CAS.

No. 4D14-3580.

202 So.3d 88 (2016)

MEDICAL CENTER OF the PALM BEACHES d/b/a Central Palm Beach Physicians & Urgent Care, Inc. a/a/o Carmen Santiago, Appellant, v. USAA CASUALTY INSURANCE COMPANY, Appellee.

District Court of Appeal of Florida, Fourth District.

August 31, 2016.


Attorney(s) appearing for the Case

Marlene S. Reiss of the Law Offices of Marlene S. Reiss, Esq. , P.A., Miami, for appellant.

Douglas H. Stein of Seipp, Flick & Hosley, LLP, Coral Gables, for appellee.

Russel M. Lazega and Yasmin Gilinsky of Florida Advocates, Dania Beach, for Amici Curiae Health Management Associates, St. Vincent's Medical Center, and Tenet Florida, Inc.

Maria Elena Abate and Raquel Moya of Colodny Fass, P.A., Sunrise, for Amici Curiae Property Casualty Insurers Association of America and the Personal Insurance Federation of Florida.


The issue presented is whether a qualified medical provider must determine that an emergency medical condition exists for benefits to exceed $2,500 under Florida's PIP statute. Stated in another way, if either there has been no determination of whether the insured has an emergency medical condition or there has been a determination that...

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