GroundRules
HSC § 1399.56
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.]
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.
Collected 2026-09-14T05:56:33Z. Source file · JSON