Emsurgcare

I. Background

Plaintiffs are California medical service providers. First Amended Complaint, Dkt. # 12 (“FAC”), ¶¶ 4–6. Plaintiffs allege that Defendant insured a patient, id. ¶ 10, who Plaintiffs provided emergency medical services to on May 7, 2021. Id. ¶ 26. For the emergency medical services provided, Plaintiff Emsurgcare billed Defendant $121,000, and Plaintiff Emergency Surgical Assistant billed Defendant $114,500. Id. ¶ 29. Plaintiffs claim that these charges reflect the “usual, reasonable, and customary rate” (“UCR”) for Plaintiffs’ services. Id. ¶ 22. Defendant, however, determined that Plaintiffs were entitled to $0.00, and refused to pay. Id. ¶¶ 29–30. On April 11, 2024, Plaintiffs filed a complaint (“initial complaint”) in the Los Angeles County Superior Court, bringing a cause of action for quantum meruit. See generally Dkt. # 1-1 (“Compl.”). Plaintiffs asserted that Defendant’s refusal to pay the charges violates the Knox-

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES - GENERAL

Case No. CV 24-04612 PSG (SSCx) Date August 8, 2024 Title Emsurgcare et al. v. Unitedhealthcare Insurance Co. Plaintiffs for the “total UCR value” of their…