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.