Hospital Services That Gave Rise to This Action Sample Clauses

Hospital Services That Gave Rise to This Action. 2 On August 28, 2014, five days after undergoing a gastric sleeve procedure in 3 Mexico, the Patient presented to the emergency room at Sharp with “[r]espiratory failure, 4 most likely due to combination of pulmonary hypertension, obstructive sleep apnea, and 5 pneumonia.” (FAC ¶¶ 34, 36.) The following day, because Patient had insurance benefits 6 through Regence, Xxxxx contacted Regence by telephone to request authorization for 7 inpatient treatment. Based on the information provided, Regence authorized inpatient 8 services for seven days. (Doc. Nos. 29-1 at 3, 32 at 4.) 9 On September 19, 2014, Xxxxx received a notice of denial from Regence informing 10 Sharp that the services provided to Patient were excluded from its policy regarding obesity.
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