California Health and Safety Code

§ 1399.56

HSC § 1399.56 Effective Jan 1, 1996Div. 2 · Ch. 2.2 · Art. 9.5

Statute text

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.

Legislative history

Amended by Stats. 1995, Ch. 787, Sec. 2. Effective January 1, 1996.