Statute · California Health and Safety Code
Cal. Health & Safety Code § 1399.56 — Claims Reviewers
Cal. Health & Safety Code § 1399.56
- Type
- Statute
- Source
- California Health and Safety Code
- Jurisdiction
- California
- Date
- 1996-01-01
- Current through
- Nov 2, 2026 (California Legislative Counsel)
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:
Citator
Cal. Health & Safety Code § 1399.56 — Claims Reviewers is in force in the current edition of the Code, and nothing recorded condemns it.
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.