Jurris.COM

Section 1399.56 Of Article 9.5. Claims Reviewers From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 9.5.

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.