Florida PIP & No-Fault

Can my own insurance company deny my PIP claim?

Attorney-Reviewed Answer
Reviewed by Jeff T. Gorman, Criminal Defense Attorney & Former 19th Circuit Prosecutor (Fla. Bar #538183). Last reviewed: September 2026
Short Answer
Yes, and they do — regularly. Your own insurer is not on your side in this transaction.

Yes. This surprises people, because it's the company they've paid for years.

Common grounds for denial or termination: treatment began outside 14 days, no emergency medical condition determination, an examination report concluding treatment isn't reasonable or necessary, a gap in treatment, failure to attend an examination or provide requested documentation, or a dispute over whether the injury came from the crash.

Reductions are even more common than outright denials — bills paid at less than billed, procedures deemed unnecessary, and benefits terminated as of a specific date.

What to do. Get the denial in writing with the stated reason. Insurers are required to explain. Keep every explanation of benefits.

There's a pre-suit process. Florida requires a demand letter before a PIP suit, giving the insurer an opportunity to pay — covered next.

Providers frequently pursue these disputes themselves, since they're the ones unpaid.

Get the denial in writing. The stated reason determines what happens next. ---

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This page answers a common question for general informational purposes and is not legal advice, and no attorney-client relationship is formed by reading it. Florida law changes; while this answer is reviewed by a licensed Florida attorney, the right answer depends on the specific facts of your situation — consult an attorney. Serving Martin, St. Lucie, Palm Beach, Indian River, and Okeechobee Counties.