Kaiser Owes Hospital Over $800K, Hospital Claims
LOS ANGELES (CN) – Kaiser refuses to reimburse a hospital over $800,000 for treating its patients, the hospital claims in Los Angeles County Superior Court.
Presbyterian Intercommunity Hospital dba PIH Health Hospital - Downey and PIH Health Hospital – Whittier sued Kaiser Foundation Health Plan for breach of contract and quantum meruit.
Presbyterian claims Kaiser will not fully pay for medically necessary services and equipment given to 186 of its patients between May 20, 2014 and Jan. 4, 2016.
When the hospital contacted Kaiser to find out what was wrong, Kaiser assured Presbyterian that its patients’ insurance plans covered the medical care they received at the hospital, according to the complaint.
Presbyterian says it submitted all the bills on time, but Kaiser refused to pay the entire amount owed.
Kaiser knew it had to pay because it approved all procedures ahead of time when the hospital contacted Kaiser before treating its patients. Had Kaiser not intended to cover their treatment, the hospital could have made other arrangements for care or payment instead of relying on its promises, the complaint states.
Presbyterian seeks reimbursement of the $808,715.29, plus interest.
It is represented by Joy Stephenson with Stephenson, Acquisto & Colman.