Legal Opinion

Freedom Medical Supply, Inc. v. State Farm Fire & Casualty Co.

Supreme Court of Pennsylvania

Decided February 16, 2016No. 8 EAP 2015PublishedCited by 37 opinions

1Opinion of the Court

OPINION

Justice TODD.

Section 1797(a) of the Motor Vehicle Financial Responsibility Law (“MVFRL”) 1 states that a provider of medical products to automobile accident victims is entitled to reimbursement from automobile insurers, and where, as here, there is no federally-determined Medicare fee for a product, reim bursement is limited to “80% of the provider’s usual and customary charge.” 75 Pa.C.S. § 1797(a). The MVFRL does not define the phrase “usual and customary charge,” but the Pennsylvania Department of Insurance (“Department”) has promulgated regulations defining it as “[t]he charge most…

2Cases cited7 opinions

  1. Bowling v. Office of Open RecordsSupreme Court of Pennsylvania · 2013
  2. Governor's Office v. Office of Open Records, Aplt.Supreme Court of Pennsylvania · 2014
  3. Meyer v. Community College of Beaver CountySupreme Court of Pennsylvania · 2014
  4. Bratic, A. v. Rubendall, C., Aplt.Supreme Court of Pennsylvania · 2014
  5. Sturkie v. Erie Insurance GroupSuperior Court of Pennsylvania · 1991

2 more not listed; retrieve them via the Exa API.

3Cited by37 opinions

  1. A.S. v. Pennsylvania State PoliceSupreme Court of Pennsylvania · 2016
  2. Commonwealth v. Giulian v. Aplt.Supreme Court of Pennsylvania · 2016
  3. A. Scott Enterprises v. City of Allentown, Aplt.Supreme Court of Pennsylvania · 2016
  4. Skotnicki, G., Aplt. v. Insurance DepartmentSupreme Court of Pennsylvania · 2017
  5. Highmark Inc. v. C.L. Voltz, Esq.Commonwealth Court of Pennsylvania · 2017

32 more not listed; retrieve them via the Exa API.

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