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Article: California Court Approves Direct Billing Of Managed Care Patients By Non-Contracted Emergency Room Physicians.
- Article from:
- Mondaq Business Briefing
- Article date:
- March 28, 2006
CopyrightCOPYRIGHT 2006 Mondaq Ltd. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Originally published in Law Watch, March 2006.
Executive Summary
Action: California appellate court rejects long standing views of managed care plans ("Plans") (and their regulatory agency) regarding balance billing of covered individuals for care in emergency rooms by emergency room physicians who do not have contracts with the Plans.
Impact: Although the court did not discuss the issue, or limit it to the specific facts of the case, the decision could possibly be extended by analogy to other providers of care, and/or other jurisdictions.
Effective Date: Immediately.
A California appellate court has brought some clarity to ...