Section 1399.56

Health & Safety Code § 1399.56 — under California Health & Safety Code.

Health & Safety Code § 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.