Lawsuit: Infinity Auto Insurance Improperly Applied Medicare Rule Under FL’s No-Fault Law

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Central Palm Beach Physicians & Urgent Care, Inc. has, on an individual patient’s behalf, filed a proposed class action against Infinity Auto Insurance Company over the insurer’s supposed practice of reducing by two percent payments made on medical services billed under certain Current Procedural Terminology (CPT) codes. The complaint charges that instead of adhering to Florida’s Personal Injury Protection (PIP) Statute, which allows insurers to limit reimbursement of medical services to 80 percent of 200 percent of the allowable amount specified by a participating physician’s fee schedule of Medicare Part B, the defendant has systematically and improperly been paying 80 percent of 200 percent of 98 percent of the allowable amount of proposed class members’ claims governed by the aforementioned Medicare rule. From the lawsuit: