CENTINELA FREEMAN EMERGENCY MEDICAL ASSOCIATES et al., Plaintiffs and Appellants,
v.
HEALTH NET OF CALIFORNIA, INC., et al., Defendants and Respondents.
Court of Appeals of California, Second District, Division Three.https://leagle.com/images/logo.png
Francisco J. Silva , Long X. Do and Michelle Rubalcava for California Medical Association, California Hospital Association, California Orthopaedic Association, California Radiological Society and California Society of Pathologists as Amici Curiae on behalf of Plaintiffs and Appellants.
Astrid G. Meghrigian for California Chapter of the American College of Emergency Physicians as Amicus Curiae on behalf of Plaintiffs and Appellants.
Crowell & Moring and Jennifer S. Romano for Defendant and Respondent Pacificare of California doing business as Secure Horizons Health Plan of America.
Barger & Wolen, John M. LeBlanc and Sandra I. Weishart for California Association of Health Plans as Amicus Curiae on behalf of Defendants and Respondents.
Court of Appeals of California, Second District, Division Three.
OPINION
CROSKEY, J. —
The law imposes a duty on emergency room physicians to treat patients regardless of their ability to pay. When those patients are enrollees in health care service plans (HMO's),1 the law imposes an obligation on the HMO's to reimburse the physicians for emergency treatment provided to the enrollees, even when the physicians were not under contract to the HMO's. HMO's sometimes delegate...
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