Anything to get out of paying

I, and a number of other al**** healthcare colleagues, have been treating a Spectramed member in hospital in a trauma ICU. Spectramed is rejecting my claims (and others), citing none authorisation of al**** health services for non-PMB conditions. How can a trauma resulting in emergency treatment and hospitalisation possibly be regarded as a non-PMB? Spectramed's behaviour is totally ********* in regards to both its members and service providers. No matter how many times I resubmit the claim with explanations and codes representing the PMB condition of this member, the claims continue to be rejected for the same reason.