arrow left
arrow right
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
  • GOLDEN GATE CHIROPRACTIC CENTER vs STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SC Personal Injury Protection-Tier 2 $100.00-$500.00 document preview
						
                                

Preview

Filing # 189900508 E-Filed 01/17/2024 10:43:02 AM GOLDEN GATE CHIROPRACTIC I N THE COUNTY COURT IN AND FOR CENTER, INC HILLSBOROUGH COUNTY, FLORIDA a/a/o Mr Edner Deli Plaintiff, CASE NO.: vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY Defendant, ______________________________/ PLAINTIFF’S REQUEST FOR PRODUCTION COMES NOW, Plaintiff, by and through the undersigned attorneys, and pursuant to Florida Rule of Civil Procedure 1.350, and requests Defendant to produce for inspection and copying at the office of the undersigned attorney within thirty (30) days after service of this request on Defendant the following: 1. A complete copy of the insurance policy that was in effect and provided coverage to claimant on the date of accident in question, including all applications and accompanying forms signed by the named insured. 2. All complete copy of any prior applications or policies issued by Defendant to the named insured. 3. A complete copy of any subsequent or renewal policies including applications and declaration pages issued by Defendant to the named insured. 4. A complete copy of the entire Special Investigations Unit file for the claimant and the named insured including but not limited to any computer notes reflecting any conversations between the adjuster, the named insured, any physicians or health care providers, and attorneys representing the insured; Any and all Examination Under Oath (EUO) request forms; computer notes from the EUO Department; a copy of the original sign in sheet or log for any dates in which examinations under oath were requested. 1/17/2024 10:43 AM Electronically Filed: Hillsborough County/13th Judicial Circuit Page 1 5. A copy of any correspondence to the patient and the patient’s attorney notifying them of any denials of coverage for material misrepresentation, failure to comply with conditions or any other reason. 6. Copies of the front and back of each and every bill for medical services submitted to Defendant by anyone at any time from the date the PIP claim file in this case was first opened to the present directly from the PIP claim file so that the date each bill was received can be ascertained from the copy as well as copies of any and all envelopes in which such bills were submitted. 7. Copies of all correspondence to and from any medical provider concerning submission for payment or documentation of any bill submitted for payment. 8. Copies of the printout of all adjuster notes from the commencement of the file to the present time, excluding or redacting those notes that reflect conversations between any adjuster and the Defendant’s attorney(s). 9. Any and all reservation of rights sent to the insured or to Plaintiff or other documentation of conditional acceptance of payment. 10. A copy of your most up to date PIP payout sheet/payment log showing all bills that have been submitted for payment whether showing bills paid in full or paid at reduced rates. 11. The complete insurance policy booklet for which benefits were demanded upon in this action for claimant’s claim for benefits and any and all documents containing the terms and provisions which you contend were or are a part of such policy applicable to Plaintiff’s claim. 12. Any and all correspondence relating to payment and non-payment of claimant’s medical bills and/or lost wages. 13. Your entire claim file from cover to cover relating to claimant including, but not limited to, Patient’s No-Fault benefits application(s), loss of wages or benefits verification forms, as well as any and all documents relating to claimant’s claim for benefits. 14. The telephone intake or first report of claim with regards to the claim file for claimant or any other insured or claimant who was involved in the accident at issue. 1/17/2024 10:43 AM Electronically Filed: Hillsborough County/13th Judicial Circuit Page 2 15. Any and all correspondence between you, your agents and/or attorneys and the Plaintiff herein, Plaintiff’s agents and attorneys concerning Plaintiff’s claim for benefits. 16. Any photographs and/or repair estimates to any of the vehicles involved in the incident which gave rise to this lawsuit. 17. If the policy has been cancelled at any time a copy of all notices of cancellation, correspondence, notifications, return of premium checks. 18. Any and all Reports of Medical Examinations and/or Record/Peer Reviews requested by you directly or through any third parties (IME VENDORS SUCH AS Florida Medical Specialists, Prime etc.) with regard to claimant in possession or available to Defendants. 19. A copy of any HCFA forms from any provider, redacting the name of the patient, that reflect charges for the same procedures billed by Plaintiff whose price for the same procedures falls within Defendant’s range of reasonable and customary fees. 20. A complete copy of the entire underwriting file, but not limited to applications, photos of the insured vehicle, financing payments, underwriting evaluations, renewal offers for every policy ever sold by Defendant or its agents to the named insured under whose policy benefits are sought for this claim. This request includes both prior and subsequent policies to the policy at issue in this case. 21. A copy of any correspondence(s) and/or e-mail(s), letter(s), etc., between Defendant and the IME vendor company utilized in this case. 22. A copy of any correspondence(s) and/or e-mail(s), letter(s), etc., between Defendant and the scheduled IME Doctor in this case. 23. A copy of any Examinations Under Oath of the patient, insured, agent, and/or any other EUO(s) taken in the underlying claim. 24. A copy of any and all Explanations of Review and/or Explanations of Benefits for any and all providers who billed Defendant in the underlying claim. 25. Any and all documentation supporting the allegations made in Defendant’s affirmative defenses. 1/17/2024 10:43 AM Electronically Filed: Hillsborough County/13th Judicial Circuit Page 3 26. Any and all demand letters pursuant to Fla. Stat. §627.736(10) received in regard to the treatment rendered to the Claimant as a result of the subject accident. 27. Any and all requests for documentation or information under this claim pursuant to Fla. Stat. §627.736(6)(b) sent to any person within 30 days of receiving notice of the covered loss. 28. Any and all documentation supporting the Defendant’s allegation that the Plaintiff’s bills were reimbursed correctly pursuant to Fla. Stat. §627.736(5)(a)(1). CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing was served upon Defendant, along with the Summons and Complaint filed in this cause. LANDAU & ASSOCIATES, P.A. 1619 NW 136th Avenue, Suite 2C Sunrise, FL 33323 Telephone (954) 744-8383 Facsimile (954) 391-7805 Email: efilings@pip-lawyers.com By: /S/ Matthew Emanuel, Esq.___ MATTHEW EMANUEL, ESQ. Florida Bar No. 98392 1/17/2024 10:43 AM Electronically Filed: Hillsborough County/13th Judicial Circuit Page 4