Health and Safety Code section 1399.55

Health care service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.

Source: Section 1399.55, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1399.55. (accessed Apr. 24, 2025).

1399.55
1399.56
1399.57

Last Updated

Apr. 24, 2025

§ 1399.55’s source at ca.gov

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Location: https://california.public.law/codes/health_and_safety_code_section_1399.55

Original Source: Section 1399.55, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1399.55. (last accessed Apr. 24, 2025).