Cal. HSC § 1399.56
This is the official text of Cal. HSC § 1399.56, part of California’s Health and Safety Code — covers public health, hospitals, controlled substances, and environmental health standards.
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Official statutory text
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.
(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.
Status: in_force · Read it on the official government site
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