{"data":{"id":"us-ca/hsc-1399.55","jurisdiction":"us-ca","citation":"HSC § 1399.55","heading":"","body":"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.","path":["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.]"],"source_url":"https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zip","current_through":"2026-09-13","vintage":"","retrieved_at":"2026-09-14T05:56:33Z","sha256":"ef972ab479d4979fe26b864c58b4afcecfe37dc85b57b90a5dd3545584876756","source_id":"us-ca","stale":false,"prev":"us-ca/hsc-1399.5","next":"us-ca/hsc-1399.56"},"notice":"GroundRules: Original legal text. Not legal advice."}