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12650 - Section et seq, addresses penalties for the submission of false

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Procedure / ServiceSection et seq, addresses penalties for the submission of false
Procedure / Service Description

CalOptima Health employees, members of the governing body, and - ○ The Federal False Claims Act, 31 U.S.C. Sections 3729 through 3731, and the California False Claims Act, California Government Code, Section 12650 et seq, addresses penalties for the submission of false claims to the federal government and relator whistleblower protections as discussed in CalOptima Health Policy HH.5004: False

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.