The 2023 Florida Statutes (including Special Session C)
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. . . We agree with the trial court that in light of section 641.3154, Florida Statutes (2007), the provider . . . See § 641.3154, Fla. Stat. . . . More specifically, section 641.3154(4) reads as follows: A provider or any representative of a provider . . . Thus, JLR was forbidden by section 641.3154(4) to balance bill the patient/subscribers. . . . JLR argues, however, that the second sentence of section 641.3154(4) modifies the first, so that the . . .
. . . As a “non-participating provider” of these services, PPS was nonetheless prohibited (by section 641.3154 . . . HOI maintains that subsection 641.3154(2) requires a reversal of the directed verdict. . . . Subsection 641.3154(1) provides that an HMO is liable for services rendered by a provider to an HMO member . . . The contracts do not exclude either the "prompt pay” provision (section 641.3155) or subsection 641.3154 . . .
. . . For example, section 641.3154 states that an HMO “is liable for services rendered to an eligible subscriber . . . provider if the provider follows the [HMOJ’s authorization procedures and receives authorization,” § 641.3154 . . . the [HMO] and the provider ... the subscriber is not liable for payment of fees to the provider.” § 641.3154 . . .
. . . . § 641.3154, and NHP's failure to pay Sheridan's "clean claims” that were filed electronically within . . .
. . . Furthermore, section 641.3154(4) provides: A provider ..., regardless of whether the provider is under . . . See § 641.3154(4)(b), Fla. Stat. . . . See § 641.3154(4), Fla. Stat. . . .