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COAST PLAZA DOCTORS HOSPITAL v. UHP HEALTHCARE

No. B154919.

129 Cal.Rptr.2d 650 (2002)

105 Cal.App.4th 693

COAST PLAZA DOCTORS HOSPITAL, Plaintiff and Appellant, v. UHP HEALTHCARE, Defendant and Respondent.

Court of Appeals of California, Second District, Division Four.

As Modified January 22, 2003 and February 7, 2003.

Attorney(s) appearing for the Case

Payne & Fears, Daniel L. Rasmussen, Thomas L. Vincent and Paul A. Bokota, Irvine, for Plaintiff and Appellant.

Miller & Holguin, Deborah A. Klar, Kent A. Halkett, Los Angeles, and Stacey L. Zill for Defendant and Respondent.

Certified for Partial Publication.*

EPSTEIN, Acting P.J.

The issue in this case is whether a health care provider has a right to seek 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 Kleene Act") an insurer has a direct...

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