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.

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Data and Resources

Additional Info

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Field Value
Contact Email [email protected]
Program Department of Managed Health Care, Help Center, Consumer Complaint Division
Homepage URL https://www.dmhc.ca.gov/AbouttheDMHC.aspx#help
Temporal Coverage

2001 - Current
Spatial/Geographic Coverage

Statewide
Geographic Granularity Statewide
Language English (EN)
Frequency Other
Source Link https://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewandComplaintReports.aspx
Data Collection Tool

http://wpso.dmhc.ca.gov/imr/
License Terms of Use
Limitations Use of this data is subject to the CHHS Terms of Use and any copyright and proprietary notices incorporated in or accompanying the individual files.
Citation

DMHC IMR Data, 2001 - Current
Last Updated April 16, 2024, 17:55 (UTC)