{"code":"HSC","codeName":"Health and Safety Code","section":"1399.56","citation":"Health & Saf. Code, § 1399.56","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"DIVISION 2. LICENSING PROVISIONS [1200. - 1796.88.]","url":"https://blackletter.si/health-and-safety-code/division-2"},{"name":"CHAPTER 2.2. Health Care Service Plans [1340. - 1399.874.]","url":"https://blackletter.si/health-and-safety-code/division-2/chapter-2.2"},{"name":"ARTICLE 9.5. Claims Reviewers [1399.55. - 1399.57.]","url":"https://blackletter.si/health-and-safety-code/division-2/chapter-2.2/article-9.5"}],"history":"Amended by Stats. 1995, Ch. 787, Sec. 2.   Effective January 1, 1996.","effective":"1996-01-01","html":"<p>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:</p><p>(a) A percentage of the amount by which a claim is reduced for payment. </p><p>(b) The number of claims or the cost of services for which the person has denied authorization or payment. </p>","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.","otherVersions":[],"url":"https://blackletter.si/health-and-safety-code/claims-reviewers-1399-56","source":"California Legislative Information bulk export (pubinfo)"}