Legal Opinion
Coast Plaza Doctors Hospital v. UHP HEALTHCARE
California Court of Appeal
Decided February 7, 2003No. B154919PublishedCited by 13 opinions
1Opinion of the Court
Opinion
EPSTEIN, Acting P. J.
The issue in this case is whether a health care provider has a right to se.ek reimbursement directly from the health care insurer for services rendered to enrollees of the health care plan. Its resolution depends in part on whether, under the Knox-Keene Health Care Service Plan Act of 1975 (Health & Saf. Code, § 1340 et seq., Knox-Keene Act) an insurer has a direct obligation to reimburse the provider. In the published portion of this opinion we conclude that the Knox-Keene Act does not apply to the factual circumstances here, and does not bar the provider from…
2Cases cited12 opinions
- Cel-Tech Communications, Inc. v. Los Angeles Cellular Telephone Co.California Supreme Court · 1999
- Aubry v. Tri-City Hospital DistrictCalifornia Supreme Court · 1992
- Stop Youth Addiction, Inc. v. Lucky Stores, Inc.California Court of Appeal · 1998
- Phillips v. Hillcrest Medical CenterCourt of Appeals for the Tenth Circuit · 2001
- California Medical Ass'n v. Aetna U.S. Healthcare of California, Inc.California Court of Appeal · 2001
7 more not listed; retrieve them via the Exa API.
3Cited by13 opinions
- JRS Products, Inc. v. Matsushita Electric Corp. of AmericaCalifornia Court of Appeal · 2004
- In Re Managed Care LitigationDistrict Court, S.D. Florida · 2003
- Bell v. Blue Cross of CaliforniaCalifornia Court of Appeal · 2005
- California Emergency Physicians Medical Group v. PacifiCareCalifornia Court of Appeal · 2003
- Ochs v. PacifiCare of CaliforniaCalifornia Court of Appeal · 2004
8 more not listed; retrieve them via the Exa API.