{"data":{"id":"us-ca/hsc-1399.56","jurisdiction":"us-ca","citation":"HSC § 1399.56","heading":"","body":"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:\n(a) A percentage of the amount by which a claim is reduced for payment.\n(b) The number of claims or the cost of services for which the person has denied authorization or payment.","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":"6620c07a5357a8fb45f6b19ac536632b1a47b1e25047411b04988d677a153094","source_id":"us-ca","stale":false,"prev":"us-ca/hsc-1399.55","next":"us-ca/hsc-1399.57"},"notice":"GroundRules: Original legal text. Not legal advice."}