Health & Safety Code §1371.4(b)
August 28, 2020 5:43 pm(b) A health care service plan, or its contracting medical providers, shall reimburse providers for emergency services and care provided... View more
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Health & Safety Code §1317(a)
August 28, 2020 5:42 pm(a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services... View more
LA City Ordinance (#185210)
August 28, 2020 5:41 pmLA City Ordinance #185210 sets “legal rates to be charged by all private ambulance companies in the City of Los... View more
28 CCR §1300.71(e)(6-8)
August 28, 2020 5:40 pm(6) The plan’s contract with a claims processing organization or the capitated provider shall include provisions authorizing the plan to... View more
28 CCR §1300.71(b)(3)
August 28, 2020 5:38 pm(b)(3) If a claim is sent to the plan’s capitated provider and the plan is responsible for adjudicating the claim,... View more
28 CCR §1300.71(b)(2)(B)
August 28, 2020 5:38 pm(2) If a claim is sent to a plan that has contracted with a capitated provider that is responsible for... View more
28 CCR §1300.71(b)(2)(A)
August 28, 2020 5:36 pm(2) If a claim is sent to a plan that has contracted with a capitated provider that is responsible for... View more
CA Evidence Code §641
August 28, 2020 5:33 pmA letter correctly addressed and properly mailed is presumed to have been received in the ordinary course of mail.
28 CCR §1300.71(a)(6)
August 28, 2020 5:32 pm(a)(6): “Date of receipt” means the working day when a claim, by physical or electronic means, is first delivered to... View more
28 CCR §1300.71(a)(3)(A)
August 28, 2020 5:32 pm(A) For contracted providers with a written contract, including in-network point-of-service (POS) and preferred provider organizations (PPO): the agreed upon... View more