CA Ins Code §10123.135(h)(1)
August 29, 2020 5:44 am(h) In determining whether to approve, modify, or deny requests by providers prior to, retrospectively, or concurrent with the provision of... View more
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CA Ins Code §10123.135(h)(4)
August 29, 2020 5:58 am(4) Communications regarding decisions to approve requests by providers prior to, retrospectively, or concurrent with the provision of health care... View more
CA Ins Code §10123.145(a)(1)
August 29, 2020 5:59 am(1) Whenever an insurer issuing group or individual policies of disability insurance which covers hospital, medical, or surgical expenses determines... View more
CA Ins Code §10123.147(a)
August 29, 2020 6:01 amEvery insurer issuing group or individual policies of health insurance that covers hospital, medical, or surgical expenses, including those telehealth... View more
CA Ins Code §10123.147(b)
August 29, 2020 5:45 am(b) If a complete claim, or portion thereof, that is neither contested nor denied, is not reimbursed by delivery to... View more
CA Ins Code §10123.87(a)(1-2,7)
August 29, 2020 5:46 am(a) No individual or group policy of disability insurance that provides coverage for hospital, medical, and surgical benefits that is... View more
CA Ins Code §10133.66(a)
August 29, 2020 6:02 amDeadlines shall not be imposed for the receipt of a claim from a professional provider who submits a claim on... View more
CA Ins Code §10133.66(b)
August 29, 2020 6:00 amReimbursement requests for the overpayment of a claim shall not be made, including requests made pursuant to Section 10123.145 ,... View more
CA Ins Code §790.03
August 29, 2020 6:06 am(1) Misrepresenting to claimants pertinent facts or insurance policy provisions relating to any coverages at issue.
CA Ins Code §796.04
August 29, 2020 6:00 amA health insurer that provides coverage for hospital, medical, or surgical expenses that authorizes a specific type of treatment for... View more