FL Chiropractor Claims Allstate Miscalculated Personal Injury Repayments
by Erin Shaak
Last Updated on May 8, 2018
Coastal Wellness Centers, Inc. v. Allstate Indemnity Company
Filed: December 13, 2017 ◆§ 0:17cv62459
Allstate Indemnity Company facing a lawsuit that alleges the defendant improperly calculated reimbursement to be paid to a Florida chiropractic firm for providing services to a man injured in a motor vehicle accident.
Allstate Indemnity Company is the defendant in the latest of four lawsuits filed by a Florida chiropractic firm against several insurance companies that allegedly attempt to reduce payments to policyholders who received medical care after being involved in motor vehicle accidents. The suit alleges the defendant improperly applied a man’s deductible to his expenses after reducing the amount by repayment limitations provided under Florida state law. The complaint argues that the defendant’s own policies require it to apply the deductible to “100 percent of the expenses and losses” before applying any reductions allowed by law.
The plaintiff claims its patient incurred $1,880 in expenses and that the defendant multiplied this number by 80 percent to calculate the “allowable amount” before applying the patient’s $1,000 deductible, resulting in a reimbursement amount of $92.34 instead of $474.14.
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