Insurance Code § 796.02

ARTICLE 6.8. Claims Reviewers

Current as of September 28, 2026Ins. Code, § 796.02Official source ↗

Amended by Stats. 1995, Ch. 787, Sec. 3. Effective January 1, 1996.

Compensation of a person retained by a disability insurer 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.