Pebley v. Santa Clara Organics


(Cal., filed July 13, 2018): Arguing that the lower court improperly allowed an insured plaintiff to recover medical damages based on billed charges when the plaintiff chose to receive treatment from a provider that takes a lien on tort recovery instead of seeking reimbursement from the insurer. California courts have previously concluded that billed medical charges do not reflect fair-market values and allowing evidence of billed charges as opposed to the amount actually paid provides a windfall for the plaintiff.

Case not yet decided

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