§ 1399.56
60 words·~1 min read·
/ca/health-and-safety-code/1399-56A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
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.