California Court of Appeal
Pacific Bay Recovery v. Cal. Physicians' Services, 070561
In an action by an out-of-network provider of medical services against Blue Cross-defendant to recover the additional unpaid amount it claimed to be owed for services rendered to a patient insured by defendant, the trial court's judgment sustaining defendant's demurrer is affirmed where, on the record, Blue Shield is not obligated to pay plaintiff, an out-of-network nonemergency provider, a usual, customary, and reasonable rate for services plaintiff provided to a Blue Shield subscriber.
Appellate Information
- Published 2017/05/31
Judges
- HUFFMAN
Court
- California Court of Appeal