Case Summaries

4175 REVIEW GRANTED A physician who treats a patient in a hospital emergency room and is not contracted with the patient's health care plan may bill the patient for the difference between what the plan pays and the reasonable charge for the services rendered.

PROSPECT MEDICAL v NORTHRIDGE (Balance Billing) 136 CA4 1155 [See: H&SC 1379; Ochs v PacifiCare 115 CA4 782, T/AT 3/04; Bell v Blue Cross 131 CA4 211, T/AT 8/05]

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2006 Case Summaries

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