California Insurance Code

§ 796.02

INS § 796.02 Effective Jan 1, 1996Div. 1 · Part 2 · Ch. 1 · Art. 6.8

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.

Legislative history

Amended by Stats. 1995, Ch. 787, Sec. 3. Effective January 1, 1996.