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California · Through 2026-09-13

INS § 796.01

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Where this section sits in the code
  1. Insurance Code - INS
  2. DIVISION 1. GENERAL RULES GOVERNING INSURANCE [100. - 1879.8.]
  3. PART 2. THE BUSINESS OF INSURANCE [680. - 1879.8.]
  4. CHAPTER 1. General Regulations [680. - 1113.]
  5. ARTICLE 6.8. Claims Reviewers [796.01. - 796.04.]

Disability insurers and nonprofit hospital 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

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