Learn About the Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
UNITED AUTOMOBILE INSURANCE COMPANY, Petitioner, v. PROFESSIONAL MEDICAL GROUP, INC., a/a/o Marvelis Bauza, Respondent.
We grant, in part, the petition for certiorari on the authority of our decisions in United Automobile Insurance Co. v. Santa Fe Medical Center, 21 So.3d 60, 34 Fla. L. Weekly D2051 (Fla. 3d DCA Oct.7, 2009) (en banc), and United Automobile Insurance Co. v. Garrido, 21 So.3d 112, 34 Fla. L. Weekly D2218 (Fla. 3d DCA Oct.28, 2009), and quash the portion of the circuit court's appellate decision that concluded that Dr. Goldberg's peer review, which claimed that none of the insured's medical treatment was reasonable, related, or necessary, did not constitute a “valid medical report” under section 627.736(7)(a), Florida Statutes (2005), because the peer review was not obtained before the PIP benefits were denied. See Santa Fe, 21 So.3d 60, 34 Fla. L. Weekly at D2053-54 (holding that an insurer's obligation, under section 627.736(7)(a), to first obtain a “valid medical report” applies to the withdrawal, not the denial, of PIP benefits); see also Garrido, 21 So.3d 112, 34 Fla. L. Weekly at D2219 (“[A]n insurer's obligation, pursuant to section 627.736(7)(a), to first obtain a medical report, applied only to withdrawal-as opposed to denial-of payment to a treating physician.”). Accordingly, for the reason expressed, we grant, in part, the petition, and quash, in part, the circuit court's appellate decision.
Granted, in part; quashed, in part.
Thank you for your feedback!
As the largest network of trusted legal brands, we help firms build authority across the platforms consumers and AI systems rely on most. Our network helps attorneys strengthen visibility, credibility, and preference where legal decisions begin.
Docket No: No. 3D09-771.
Decided: December 23, 2009
Search our directory by legal issue
Enter information in one or both fields (Required)
Harness the power of our directory with your own profile. Select the button below to sign up.
Learn more about FindLaw’s newsletters, including our terms of use and privacy policy.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)