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California Court of Appeal

Orthopedic Specialists v. CalPERS, B248535

Dismissal of an action brought by plaintiff, an out of network medical provider, who provided non-emergency medical services to a participant of a health plan covered by defendant, seeking recovery of its customary and usual rate, is affirmed, where: 1) defendant paid a small portion of the amount charged for the services; and 2) the trial court properly concluded that there is no contractual or other requirement that defendant pay plaintiff its usual and customary rate.

Appellate Information

  • Decided 07/31/2014
  • Published 07/31/2014




  • California Court of Appeal


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