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CHILDREN'S HOSPITAL CENTRAL CALIFORNIA v. BLUE CROSS OF CALIFORNIA

No. F065603.

226 Cal.App.4th 1260 (2014)

172 Cal. Rptr. 3d 861

CHILDREN'S HOSPITAL CENTRAL CALIFORNIA, Plaintiff and Respondent, v. BLUE CROSS OF CALIFORNIA et al., Defendants and Appellants.

Court of Appeals of California, Fifth District.

June 10, 2014.

Attorney(s) appearing for the Case

Reed Smith, Margaret M. Grignon ; Wilke Fleury Hoffelt Gould & Birney, Thomas G. Redmon , Curtis S. Leavitt , Daniel L. Baxter ; Kennaday, Leavitt & Daponde and Curtis S. Leavitt for Defendants and Appellants.

Marion's Inn, Kennedy P. Richardson and Mark Palley for California Association of Health Plans as Amicus Curiae on behalf of Defendants and Appellants.

Hooper, Lundy & Bookman, Glenn E. Solomon and Lillie A. Werner for Plaintiff and Respondent.

DLA Piper, Stephen L. Goff , Todd M. Noonan ; and Jana Dubois for California Hospitals Association as Amicus Curiae on behalf of Plaintiff and Respondent.

OPINION

LEVY, Acting P. J. —

This appeal concerns a dispute between respondent Children's Hospital Central California (Hospital) and appellants Blue Cross of California and Blue Cross of California Partnership Plan, Inc. (Blue Cross), over the reasonable value of the poststabilization emergency medical services provided by Hospital to Medi-Cal beneficiaries enrolled in Blue Cross's Medi-Cal managed care plan. The services at issue were...

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