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 files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
Independent Medical Review (IMR) Determinations, Trend | Download | CSV | 04/08/21 |
All resource data | Download | ZIP | 09/05/24 |
Supporting files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
data-dictionary 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. | PDF | 05/07/20 |