BlackletterCalifornia law

Health and Safety Code § 1399.55

ARTICLE 9.5. Claims Reviewers

Current as of September 28, 2026Health & Saf. Code, § 1399.55Official source ↗

Added by Stats. 1992, Ch. 544, Sec. 1. Effective January 1, 1993.

Health care 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.