2011 California Code
Welfare and Institutions Code
DIVISION 9. PUBLIC SOCIAL SERVICES [10000 - 18996]
ARTICLE 3.5. Physician Services Account
Section 16955
Reimbursement for losses incurred by any physician shall be limited to services provided to a patient as established by subdivisions (f) and (g) of Section 16952, and where all of the following conditions have been met:
(a) The physician has inquired if there is a responsible third-party source of payment.
(b) The physician has billed for payment of services.
(c) Either of the following:
(1) A period of not less than three months has passed from the date the physician billed the patient or responsible third party, during which time the physician has made reasonable efforts to obtain reimbursement and has not received reimbursement for any portion of the amount billed.
(2) The physician has received actual notification from the patient or responsible third party that no payment will be made for the services rendered by the physician.
(d) The physician has stopped any current, and waives any future, collection efforts to obtain reimbursement from the patient, upon receipt of funds from the county physician services account in the county emergency medical services fund.
(Amended by Stats. 2005, Ch. 671, Sec. 9. Effective January 1, 2006.)
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