Court Rules & Practice Materials - Florida - Health Care Claims Disputes

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Florida uses fact pleadings vice issue pleadings one finds in Federal courts.

An excellent source for Florida's State Courts can be found at the Florida State Courts web site.

Affordable Care Act - Florida Practice Guide

This chapter discusses The Patient Protection and Affordable Care Act, (PPACA), the healthcare reform act colloquially known as “Obamacare.” Elder Law clients are presently affected by the law and the Elder Law and Special Needs Attorney will increasingly use its protections as client tools. By January 1, 2014, when the law is fully implemented, there will surely be many more state and federal regulations to help implement, define and refine the law. This chapter treats the law from the perspective of select protections, benefits or requirements of special interest to the Attorney. The annual updates to this book will adjust and illuminate as new rules, laws and practical lessons are developed and learned.

14 Fla. Prac., Elder Law Ch. 19 Introduction (2012-2013 ed.)

ACA provisions: appealing health plan decisions
Patient has right to appeal plan decisions—to reconsider denial of payment first internally and then through an independent review organization. After July 2011, when a plan denies a claim, patient notification of reason, the right to an internal appeal, and right to external appeal must be provided. Older plans are grandfathered. 14 Fla. Prac., Elder Law § 19:7 (2012-2013 ed.)

Coverage Complaint

§ 435. Complaint, petition, or declaration—For recovery on health insurance policy—Denial of coverage for recommended treatment—Breach of contract and of duty of good faith and fair dealing—Infliction of emotional distress

14B Am. Jur. Pl. & Pr. Forms Insurance § 435

Health Care Claims Disputes: Court Rules & Practice Materials - Florida

Florida Bar - Court Rules

Florida Courts

Affordable Care Act - Florida Practice Guide

Coverage Complaint