{"data":{"id":"us-ca/hsc-127456","jurisdiction":"us-ca","citation":"HSC § 127456","heading":"","body":"(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.\n(b) For purposes of this section, “pending appeal” includes any of the following:\n(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.\n(2) An independent medical review, as described in Section 10145.3 or 10169 of the Insurance Code.\n(3) A fair hearing for a review of a Medi-Cal claim pursuant to Section 10950 of the Welfare and Institutions Code.\n(4) An appeal regarding Medicare coverage consistent with federal law and regulations.","path":["Health and Safety Code - HSC","DIVISION 107. HEALTH CARE ACCESS AND INFORMATION [127000. - 130079.]","PART 2. HEALTH POLICY AND PLANNING [127280. - 127774.]","CHAPTER 2.5. Fair Pricing Policies  [127400. - 127471.]","ARTICLE 2. Emergency Physician Fair Pricing Policies [127450. - 127462.]"],"source_url":"https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zip","current_through":"2026-09-13","vintage":"","retrieved_at":"2026-09-14T05:56:33Z","sha256":"e83759de9473289cf19f7f53aaab0045ccd51afa346a316b7b60733e88a0afe8","source_id":"us-ca","stale":false,"prev":"us-ca/hsc-127455","next":"us-ca/hsc-127457"},"notice":"GroundRules: Original legal text. Not legal advice."}