{"code":"INS","codeName":"Insurance Code","section":"796.01","citation":"Ins. Code, § 796.01","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"DIVISION 1. GENERAL RULES GOVERNING INSURANCE [100. - 1879.8.]","url":"https://blackletter.si/insurance-code/division-1"},{"name":"PART 2. THE BUSINESS OF INSURANCE [680. - 1879.8.]","url":"https://blackletter.si/insurance-code/division-1/part-2"},{"name":"CHAPTER 1. General Regulations [680. - 1113.]","url":"https://blackletter.si/insurance-code/division-1/part-2/chapter-1"},{"name":"ARTICLE 6.8. Claims Reviewers [796.01. - 796.04.]","url":"https://blackletter.si/insurance-code/division-1/part-2/chapter-1/article-6.8"}],"history":"Added by Stats. 1992, Ch. 544, Sec. 2.   Effective January 1, 1993.","effective":"1993-01-01","html":"<p>Disability insurers and nonprofit hospital service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.</p>","text":"Disability insurers and nonprofit hospital service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.","otherVersions":[],"url":"https://blackletter.si/insurance-code/claims-reviewers-796-01","source":"California Legislative Information bulk export (pubinfo)"}