California Health and Safety Code

§ 1371.30

HSC § 1371.30 Effective Jan 1, 2021Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)(1) By September 1, 2017, the department shall establish an independent dispute resolution process for the purpose of processing and resolving a claim dispute between a health care service plan and a noncontracting individual health professional for services subject to subdivision (a) of Section 1371.9.

(2)Prior to initiating the independent dispute resolution process, the parties shall complete the plan’s internal process.

(3)If either the noncontracting individual health professional or the plan appeals a claim to the department’s independent dispute resolution process, the other party shall participate in the appeal process as described in this section.

…

Legislative history

Amended by Stats. 2020, Ch. 278, Sec. 1. (AB 2157) Effective January 1, 2021.