Hospital Claims Kaiser Owes $142K
3-27-2017 17:25:00

SANTA ANA, Calif. (CN) – Kaiser refuses to reimburse a hospital over $142,000 for treating its patient, the hospital claims in Orange County Superior Court.

South Coast Global Medical Center, formerly known as Coastal Communities Hospital, sued Kaiser Foundation Health Plan and Kaiser Foundation Hospitals for breach of contract, unjust enrichment, and quantum meruit.
South Coast claims Kaiser will not fully pay for medically necessary treatment given to one of its patients in late 2014. 
Though South Coast sent Kaiser the $142,027.58 bill in a timely manner, Kaiser refused to pay in full despite the parties’ retroactive care agreement in which Kaiser agreed to reimburse the hospital for medically necessary treatment in exchange for discounted rates, according to the complaint.
Kaiser knew it had to pay because it authorized all procedures ahead of time when South Coast contacted it seeking authorization to treat its patient. It also knew what the charges would be because South Coast sent the information ahead of time, and Kaiser never contested the amounts, the complaint states.
South Coast seeks reimbursement of the $142,027.58, plus interest.
The hospital is represented by Carrie McLain with the Helton Law Group of Huntington Beach.
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