Insurance Code section 796.02


Compensation of a person retained by a disability insurer 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 796.02, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=INS§ionNum=796.­02.­ (updated Jan. 1, 1996; accessed Jun. 16, 2025).

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Verified:
Jun. 16, 2025

§ 796.02's source at ca​.gov