Vishva Dev, M.D., Inc. v. Blue Shield of California Life & Health Insurance Co.

—Vishva Dev, M.D., Inc. (Dev), provided emergency medical services to two individuals who had health care coverage through Blue Shield of California Life & Health Insurance Company (Blue Shield Life) and one individual who had health care coverage through California Physicians Services, also known as Blue Shield of California (Blue Shield California). Dev submitted bills for its services for each of the individuals to their respective insurers. Blue Shield Life and Blue Shield California refused to pay or agreed to pay only a fraction of the amount billed, informing Dev of their decisions regarding each bill in written explanation of benefits (EOB) letters. Dev appealed each of those decisions, seeking to increase Blue Shield Life’s and Blue Shield California’s payments through those entities’ internal review processes.

Blue Shield Life and Blue Shield California, however, continued to refuse to pay Dev’s bills fully, and Dev filed a complaint asserting breach of contract and quantum meruit, the latter of which is at issue in this appeal. In response, Blue Shield Life and Blue Shield California filed a joint motion for summary judgment or summary adjudication on the…