Legal Opinion

Orthopedic Specialists of Southern California v. Public Employees' Retirement System

California Court of Appeal

Decided July 15, 2014No. B248535UnpublishedCited by 8 opinions

1Opinion of the Court

Opinion

ASHMANN-GERST, Acting P. J.

Appellant Orthopedic Specialists of Southern California (OSSC) provided nonemergency medical services to a participant of a health plan covered by defendant Public Employees’ Retirement System (CalPERS). OSSC is an out-of-network medical provider. CalPERS paid OSSC a small portion of the amount charged for services. OSSC insists that it is entitled to receive its higher customary and usual rate and seeks the balance of $297.46, plus damages for a putative class. The trial court sustained CalPERS’s demurrer without leave to amend. Because we agree with the…

2Cases cited8 opinions

  1. Mintz v. Blue Cross of CaliforniaCalifornia Court of Appeal · 2009
  2. Janis v. California State Lottery CommissionCalifornia Court of Appeal · 1998
  3. Children's Hospital Central California v. Blue Cross of CaliforniaCalifornia Court of Appeal · 2014
  4. Bell v. Blue Cross of CaliforniaCalifornia Court of Appeal · 2005
  5. KATSURA v. City of San BuenaventuraCalifornia Court of Appeal · 2007

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3Cited by8 opinions

  1. Pac. Bay Recovery, Inc. v. Cal. Physicians' Servs., Inc., California Court of Appeal, 5th District2017
  2. Russell City Energy Co. v. City of Hayward, California Court of Appeal, 5th District2017
  3. Baez v. CalPERSCalifornia Court of Appeal · 2015
  4. Heinz v. Cal. Public Employees' Retirement System CA2/7California Court of Appeal · 2021
  5. Namdy Consulting v. UnitedHealthcare etc. CA2/4California Court of Appeal · 2020

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