California Insurance Code ARTICLE 6.8 - Claims Reviewers

• Section 796.01.
  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...
• Section 796.02.
  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...
• Section 796.03.
  This article does not apply to services or benefits provided pursuant to Medi-Cal, including services or benefits provided under Chapters 7 (commencing with Section 14000)...
• Section 796.04.
  A health insurer that provides coverage for hospital, medical, or surgical expenses that authorizes a specific type of treatment for services covered under a policyholder’s...

Last modified: October 22, 2018