Health Care & Hospital Law
Jul. 5, 2023
OUT-OF-NETWORK EMERGENCY SERVICES REIMBURSEMENT NEEDS TO BE MORE EFFICIENT
See more on OUT-OF-NETWORK EMERGENCY SERVICES REIMBURSEMENT NEEDS TO BE MORE EFFICIENT
Gregory N. Pimstone
Partner
Manatt, Phelps & Phillips LLP
2049 Century Park East, Suite 1700
Los Angeles , CA 90067
Email: gpimstone@manatt.com
UC Berkeley SOL Boalt Hall; Berkeley CA
Each day, many Californians are taken to emergency rooms at hospitals not contracted with their carriers. For obvious reasons, people in a medical emergency are entitled to seek treatment at the closest emergency room regardless of whether it is contracted. The provider cannot turn them away and the carrier cannot redirect them to a contracted provider. The parties are forced to transact without any price agreement in place. So what happens when the carrier and provid...
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