GroundRules
HSC § 1399.55
Where this section sits in the code
- Health and Safety Code - HSC
- DIVISION 2. LICENSING PROVISIONS [1200. - 1796.88.]
- CHAPTER 2.2. Health Care Service Plans [1340. - 1399.874.]
- ARTICLE 9.5. Claims Reviewers [1399.55. - 1399.57.]
Health care service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.
Collected 2026-09-14T05:56:33Z. Source file · JSON