Section 1399.56.
Cal. Health and Safety Code - HSC § 1399.56.
in effectCompensation 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.
Source: CA Legislative Counsel Bulk DataURL: https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zipFetched: 6/27/2026