{"data":{"id":"us-ca/ins-796.01","jurisdiction":"us-ca","citation":"INS § 796.01","heading":"","body":"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.","path":["Insurance Code - INS","DIVISION 1. GENERAL RULES GOVERNING INSURANCE [100. - 1879.8.]","PART 2. THE BUSINESS OF INSURANCE [680. - 1879.8.]","CHAPTER 1. General Regulations [680. - 1113.]","ARTICLE 6.8. Claims Reviewers [796.01. - 796.04.]"],"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":"a0d881c766950ab15699588ef7b869d61222a10f9e35adaabd72e8b1063bc5ef","source_id":"us-ca","stale":false,"prev":"us-ca/ins-795.7","next":"us-ca/ins-796.02"},"notice":"GroundRules: Original legal text. Not legal advice."}