Section 10352 Of Article 4. Compulsory Standard Provisions—uniform Provisions From California Insurance Code >> Division 2. >> Part 2. >> Chapter 4. >> Article 4.
10352
. (a) Every policy of disability insurance issued, amended, or
renewed on and after January 1, 1987, that offers coverage for
medical transportation services, shall contain a provision providing
for direct reimbursement to any provider of covered medical
transportation services if the provider has not received payment for
those services from any other source.
(b) Subdivision (a) shall not apply to any transaction between a
provider of medical transportation services and the insurer under a
disability insurance policy if the parties have entered into a
contract providing for direct payment.
(c) For purposes of this subdivision, "direct reimbursement" means
the following:
The insured shall file a claim for the medical transportation
service with the insurer; the insurer shall pay the medical
transportation provider directly; and the medical transportation
provider shall not demand payment from the insured until having
received payment from the insurer, at which time the medical
transportation provider may demand payment from the insured for any
unpaid portion of the provider's fee.