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ST. JOSEPH'S HOSP. v. AHCCCS

No. 1 CA-CV 94-0269.

185 Ariz. 309 (1996)

916 P.2d 499

ST. JOSEPH'S HOSPITAL and Medical Center, an Arizona corporation, Plaintiff-Appellee, v. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM, an agency of the State of Arizona; Leonard Kirschner, M.D., as Director of the Arizona Health Care Cost Containment System Administration; and Maricopa County Health Plan, a department of Maricopa County, a political body of the State of Arizona, Defendants-Appellants.

Court of Appeals of Arizona, Division 1, Department C.

April 23, 1996.

Attorney(s) appearing for the Case

Richard M. Romley, Maricopa County Attorney by William F. Molner, Deputy County Attorney, Phoenix, for Defendant-Appellant Maricopa County Health Plan.

Johnston Maynard Grant and Parker, P.L.C. by Catherine Dodd, Phoenix, for Defendant-Appellant Arizona Health Care Cost Containment System.

Gammage & Burnham, P.L.C. by Richard B. Burnham and Cameron C. Artigue, Phoenix, for Plaintiff-Appellee.

OPINION

FIDEL, Judge.

This case arises from the denial by the Maricopa County Health Plan ("MCHP") — an Arizona Health Care Cost Containment System ("AHCCCS") contract provider — of a reimbursement claim submitted by St. Joseph's Hospital and Medical Center ("St. Joseph's") for emergency treatment and hospitalization of an MCHP member. MCHP denied reimbursement because St. Joseph's failed to give MCHP timely notice

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