CAL. HSC. CODE § 1399.56 : California Code - Section 1399.56

Search CAL. HSC. CODE § 1399.56 : California Code - Section 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.

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Claims Reviewers [1399.55. - 1399.57.]

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