The 2023 Florida Statutes (including Special Session C)
|
||||||
|
. . . direct the provision of JLR’s anesthesia services to Florida Health Care members pursuant to section 641.3156 . . . When the trial court reviewed section 641.3156(1), it found that under that statute a health maintenance . . . performing its medical services, its rights are governed not by section 641.3154(4), but by section 641.3156 . . . Health Care, JLR was not in a contract position with the health maintenance organization, and section 641.3156 . . .
. . . Section 641.3156(1) requires HMOs to pay “any hospital-service or referral-service claim for treatment . . . the provider provided information to the [HMO] with the willful intention to misinform the [HMO].” § 641.3156 . . .
. . . . § 641.3156 (prohibiting arbitrary denial of claims), Tex. . . .