AB 2431 (Patel, D-San Diego) Details
Held on the Assembly Appropriations Committee suspense file on May 14.
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AB 2431 would have required a health care plan or insurer to include a documented review of the clinical information supporting the billed service and provide rationale whenever deciding to downcode a claim that results in a lower payment. In addition, it would have required the Department of Managed Health Care and the Department of...
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Dietmar Grellmann