Health and 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.

Source: Section 1399.56, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1399.56. (accessed Apr. 24, 2025).

1399.55
1399.56
1399.57

Last Updated

Apr. 24, 2025

§ 1399.56’s source at ca.gov

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Location: https://california.public.law/codes/health_and_safety_code_section_1399.56

Original Source: Section 1399.56, https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1399.56. (last accessed Apr. 24, 2025).