DIVISION 1. GENERAL RULES GOVERNING INSURANCE 100-1879.8›PART 2. THE BUSINESS OF INSURANCE 680-1879.8›CHAPTER 1. General Regulations 680-1113›ARTICLE 6.8. Claims Reviewers 796.01-796.04
§ 796.02
California Insurance Code · 2018-11 edition · updated 2026-10-04 · California
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.
(Amended by Stats. 1995, Ch. 787, Sec. 3. Effective January 1, 1996.)
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