Florida Office of Insurance Regulation Rule Hearing on Proposed Changes to Personal Injury Protection (PIP) Forms Not Officially Held
Jan 10, 2013
A Florida Office of Insurance Regulation Rule Hearing scheduled for today, January 10, 2013, to review proposed changes to Rules 69O-170.0155 and 69O-176.013 was not requested, and therefore not held.
The purpose of amending Rule 69O-170.0155 is to update and revise Form OIR-B1-1809, “Health Care Provider Certification of Eligibility,” for Personal Injury Protection (“PIP”) Benefits due to statutory revisions as the result of HB 119 (Chapter 2012-197, Laws of Florida).
Although the hearing was not officially held, representatives of the Florida Agency for Health Care Administration (“AHCA”) were in attendance and made some comments off the record, in which they observed that the proposed amendment to Form OIR-B1-1809 does not properly allow for the reporting of a clinic’s fictitious or DBA (doing business as) name. According to the AHCA representatives, this may frustrate the purpose of monitoring clinics providing services to PIP claimants because most clinics operate under fictitious names.
Proposed amendments to Rule 69O-176.013 would finalize Emergency Rule changes to Form OIR-B1-1149, “Notification of Personal Injury Protection Benefits,” in accordance with statutory revisions resulting from HB 119. Form OIR-B1-1149 now reflects that PIP benefits are allocated for emergency medical treatment and a flat $5,000 death benefit.
The Form was also amended to incorporate technical edits regarding fraud reporting and billing disclosures.
Should you have any questions or comments, please contact Colodny Fass& Webb.
Click here to follow Colodny Fass& Webb on Twitter (@CFTLAWcom)
To unsubscribe from this newsletter, please send an email to Brooke Ellis at bellis@cftlaw.com.