CA Health & Safety Code Section 1399.56


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.
Last Updated

Aug. 19, 2023

§ 1399.56’s source at ca​.gov