Hello, My doctor's are non par, these are Kaisers HMO patients that most are elderly and have cronic medical problems which brings them to the hospital in an ambulance with the ER doctor doing an accessment. My doctor's are Internal Medicine and are called in to consult and take care of any issues in their field. The denials are always the same, "Additional time spent to reach a Plan provider would mean risking permanent damage to your health. Use of non-Plan providers in non-emergency situations is not payable by Kaiser Foundation Health Plan, Inc. To file an appeal you must first agree not to bill the patient and complete a Waiver of Liability Statement which is your attestation that you will not bill the member regardless of the outcome of an appeal". I have a file full of Kaiser patients that were seen for a day or two to stabilize and transport but this is standard for Kaiser so we will go away. All documentation proves the emergency. Any help would be appreciated.