September 1, 2016
Allstate Insurance Co. v. Orthopedic Specialists, etc.
Case Number(s):
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The Fourth District Court of Appeal heard an appeal consolidating 32 cases in which medical providers sued Allstate, alleging the insurer failed to fully reimburse them for care provided to people with Allstate auto policies. Allstate said it had fully reimbursed the providers and cited a provision of the insurance policies that it said allowed reimbursement to be tied to Medicare rates. The medical providers argued the provision was ambiguous. The 4th DCA agreed with the medical providers and also said its decision was in conflict with a decision by the First District Court of Appeal.