Cal. Code Regs. Tit. 22, § 53632 - Notice of Defense

(a) The plan shall file a response entitled, "Notice of Defense" which shall:

(1) Admit or deny, in whole or in part, each numbered portion of the claim. Matters not denied are deemed admitted. Denials may be based on a lack of information sufficient to identify the transaction or prepare a defense.

(2) Introduce new information in defense of the plan's position, if any.

(3) State the reasons for rejecting the claim.

(b) The Notice of Defense shall include copies of all supporting documents, if any.

(c) The Notice of Defense shall state any limitation of liability asserted by the plan according to Section 53698.

(d) The Notice of Defense shall:

(1) Be signed by or on behalf of the plan and shall contain the plan's address.

(2) Designate an individual and an address for the service of any and all papers relating to proceedings conducted under this article.

(3) State the name and address of the plan's authorized representative, if any.

(e) The plan, within 60 days after receiving service of a claim, shall:

(1) Serve a copy of the Notice of Defense on the provider.

(2) File the Notice of Defense and a copy of the proof of service with the Department.

Notes

Cal. Code Regs. Tit. 22, § 53632

1. Amendment filed 9-3-82; effective thirtieth day thereafter (Register 82, No. 36).

Note: Authority cited: Sections 14312 and 14454, Welfare and Institutions Code. Reference: Section 14454, Welfare and Institutions Code.

1. Amendment filed 9-3-82; effective thirtieth day thereafter (Register 82, No. 36).