Claims Reviewers
Known as the Knox-Keene Health Care Service Plan Act
The act spans §§ 1340–1399 (617 sections).
Amended by Stats. 1995, Ch. 787, Sec. 2
Compensation 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.
Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.