§ 1399.56

Amended by Stats. 1995, Ch. 787, Sec. 2. Effective January 1, 1996.

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.

Other sections in Article 9.5 - Claims Reviewers

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