California Court of Appeal

Section 1371.4 of the Knox-Keene Act requires a health plan to pay non-participating providers a reasonable and customary amount for emergency services that is not below the common range of fees for the services.

Appellate Information

• Decided 07/21/2005
• Published 07/21/2005

Judges

• VOGEL, J.

Court

• California Court of Appeal

Counsel

• For Appellant:
  
• Law Offices of Andrew H. Selesnick, Andrew H. Selesnick;  California Lawyers Group, Robert B. Scapa, Encino;  Law Offices of Clifford A. Cantor and Clifford A. Cantor, Sammamish, WA, for Plaintiffs and Appellants., Amy L. Dobberteen, Debra L. Denton, Troy R. Szabo and Jennifer Gore for California Department of Managed Health Care as Amicus Curiae on behalf of Plaintiffs and Appellants., Catherine I. Hanson and Astrid G. Meghrigian, San Francisco, for California Medical Association as Amicus Curiae on behalf of Plaintiffs and Appellants.


• For Appellees:
  
• Stephan, Oringher, Richman & Theodora, Gordon E. Bosserman and Gerald J. Miller, Los Angeles, for Defendant and Respondent.