Independent Medical Review (IMR) Determinations, Trend

This data is from the California Department of Managed Health Care (DMHC). It contains all decisions from Independent Medical Reviews (IMR) administered by the DMHC since January 1, 2001. An IMR is an independent review of a denied, delayed, or modified health care service that the health plan has determined to be not medically necessary, experimental/investigational or non-emergent/urgent. If the IMR is decided in an enrollees favor, the health plan must authorize the service or treatment requested.

Data and Resources

Additional Info

Field Value
Public Access Level Public
Rights No restrictions on public use
Program Contact Name Department of Managed Health Care, Help Center, Consumer Complaint Division
Program Contact Email [email protected]
Frequency Irregular
Temporal Coverage

2001 - Current

Source Link https://www.dmhc.ca.gov/AbouttheDMHC.aspx#help
Last Updated March 28, 2024, 00:05 (UTC)
Created December 13, 2018, 22:26 (UTC)
DCAT Issued Date 2017-06-16T22:09:38.919356
DCAT Modified Date 2024-03-12T17:53:29.759785