however, according to the complaint filed by the FSJI, the Berkshire Hathaway -owned firm is allegedly “ engaging in taxonomic fraud by denying coverage to their customers by refusing to pay for lawful medical services [ rendered by the FSJI ] covered under the applicable policies and governed by Florida ’ s PIP Statute. ”
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In the court documents, the car insurance company said it is not required to pay the deny claims, for reasons that differ on a individual basis. The reasons include : “ ( 1 ) FSJI ’ s aesculapian directors are not fulfilling their duties as determined forth in Section 400.9935, Florida Statutes ; ( 2 ) FSJI is inappropriately billing GEICO under Florida ’ s PIP legislative act for services rendered through the engagement of FSJI ’ south licensed massage therapists ( “ LMTs ” ) ; ( 3 ) FSJI is engaging in ‘ upcoding ’, or charging its patients for higher level aesculapian services in stead of more cheap, button-down discussion ; and ( 4 ) FSJI ’ s billing for time codes is not matching its hours of mathematical process. ”
In addition, GEICO has reportedly sent letters to FSJI ’ s patients ( an exemplar of which was included in FSJI ’ s complaint ) claiming the arrangement “ is engaging in deceitful charge ” and that “ GEICO has a reasonable impression that a deceitful policy act under section 626.989 or 817.234, Fla. Stat., has been committed with deference to [ your ] claim. ”
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FSJI argues these letters are disseminating assumed information and are calumniatory in nature. The organization quotes one of the letters in the complaint : “ GEICO, having cognition of FSJI ’ s existing contractual and commercial enterprise relationships with its patients, intentionally and unjustifiably interfered with those contracts and relationships by sending the Defamatory Letters to FSJI ’ s GEICO Patients, which contained faithlessly allegations of fraud against FSJI. As a direct and proximate leave of GEICO ’ south actions, FSJI has suffered and will continue to suffer significant damages including, without limitation, loss in dependable will, damages to its reputation, and damages in measure to be proven at trial. ”
FSJI seeks test by jury on all counts indeed triable. Ryan Fulcher, CEO of FSJI told Insurance Business : “ We will not allow GEICO to interfere with important and necessity aesculapian caution for its customers who are our patients, and so we hope this lawsuit will quickly result in GEICO ultimately providing its policyholders with the insurance benefits they were promised. ”
A spokesperson for GEICO said the tauten will not comment on pending litigation .