An automobile insurance carrier’s failure to adjust the cost of an insured’s medical bills resulted in the premature exhaustion of her first-party benefits, a common pleas court judge has ruled in allowing her claim to go forward against the insurer.
Lawrence County Court of Common Pleas Judge Craig Cox said in Pavelko v. Unitrin Direct Auto Insurance that the plaintiff’s allegation that her auto insurer’s failure to adjust the bill, or “re-price” medical services by paying a lower rate to the medical service provider, meant that primary care limits under the policy could have been reached too soon.
