Questão jurídica principal
Whether the creditor had a valid definitive enforcement title permitting continuation of the enforcement
Decisão extraída
Yes. The insurer's final decision of 21 October 2002 was a definitive title, so the debt could be continued directly.
Fundamentação extraída
A health insurer may issue a formal decision on the material claim that also removes the objection; once final, that decision permits direct continuation of the enforcement.