Section 127456 - Extended period if pending appeal(a) The period described in Section 127455 shall be extended if the patient has a pending appeal for coverage of the services, until a final determination of that appeal is made, if the patient makes a reasonable effort to communicate with the emergency physician about the progress of any pending appeals.(b) For purposes of this section, "pending appeal" includes any of the following:(1) A grievance against a contracting health care service plan, as described in Chapter 2.2 (commencing with Section 1340) of Division 2, or against an insurer, as described in Chapter 1 (commencing with Section 10110) of Part 2 of Division 2 of the Insurance Code.(2) An independent medical review, as described in Section 10145.3 or 10169 of the Insurance Code.(3) A fair hearing for a review of a Medi-Cal claim pursuant to Section 10950 of the Welfare and Institutions Code.(4) An appeal regarding Medicare coverage consistent with federal law and regulations.Ca. Health and Saf. Code § 127456
Added by Stats 2010 ch 445 (AB 1503),s 4, eff. 1/1/2011.