The Regents of the University of California v. E.B.A. & M. Corporation
Opinion
Trial Court Opinion
I. BACKGROUND
This case concerns a dispute between a medical provider and a health care plan. UC Irvine Health alleges that it provided medically necessary treatment to six individuals (the “Patients”) who were beneficiaries of a health plan administered by E.B.A. & M. Compl., Dkt. 12-2, Ex. 2, ¶¶ 7–8. UC Irvine Health alleges that upon admitting the Patients, it contacted E.B.A. & M., which represented that the Patients were beneficiaries of its health plan. Id. ¶ 15. UC Irvine Health alleges that it entered into an implied-in- fact contract with E.B.A. & M., whereby E.B.A. & M. offered to reimburse UC Irvine Health in exchange for the provision of medically necessary care to the Patients. Id. ¶ 16. Further, UC Irvine Health alleges that it fully performed under the implied-in-fact contract in reliance on E.B.A. & M.’s promises and conduct, but that E.B.A. & M. breached the contract and caused damages by underpaying for its services. Compl. ¶¶ CV-90 (06/04) CIVIL MINUTES - GENERAL Page 1 of 6 Case 8:22-cv-00061-JVS-ADS Document Filed 03/09/ Page 2 of Page ID #:147