California Health and Safety Code 1399.55 – Health care service plans shall, upon rejecting a claim from a health …
Current as of: 2024 | Check for updates
|
Other versions
Health care service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.
(Added by Stats. 1992, Ch. 544, Sec. 1. Effective January 1, 1993.)
Terms Used In California Health and Safety Code 1399.55
- Provider: means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services. See California Health and Safety Code 1345