Cal. Health & Saf. Code § 1399.56

Current through the 2023 Legislative Session.

Section 1399.56 - Compensation of person reviewing claims

Compensation of a person retained by a health care service plan to review claims for health care services shall not be based on either of the following:

(a) A percentage of the amount by which a claim is reduced for payment.

(b) The number of claims or the cost of services for which the person has denied authorization or payment.

Ca. Health and Saf. Code § 1399.56

Amended by Stats. 1995, Ch. 787, Sec. 2. Effective January 1, 1996.