§ 1399.55 Health care service plans shall, upon rejecting a claim from a health …
§ 1399.56 Compensation of a person retained by a health care service plan to …
§ 1399.57 This article does not apply to services or benefits provided pursuant …

Terms Used In California Codes > Health and Safety Code > Division 2 > Chapter 2.2 > Article 9.5 - Claims Reviewers

  • Person: means any person, individual, firm, association, organization, partnership, business trust, foundation, labor organization, corporation, limited liability company, public agency, or political subdivision of the state. See California Health and Safety Code 1345
  • plan: refers to health care service plans and specialized health care service plans. See California Health and Safety Code 1345
  • 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