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2021 California Code
Health and Safety Code - HSC
DIVISION 2 - LICENSING PROVISIONS
CHAPTER 2.2 - Health Care Service Plans
ARTICLE 9.5 - Claims Reviewers
Section 1399.56.
Universal Citation:
CA Health & Safety Code § 1399.56 (2021)
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1399.56.
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.
(Amended by Stats. 1995, Ch. 787, Sec. 2. Effective January 1, 1996.)
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