State agency ยท California Department of Managed Health Care
California Independent Medical Review decision search
A searchable database of every California Independent Medical Review decision since 1 January 2001. Search by drug, treatment, therapy or condition to read how reviewers decided cases like yours.
Know before you go
The page says patient names are not listed and conditions and treatments are described in general terms. It warns that every review is unique, so an earlier decision does not mean a similar case will be decided the same way now. The department's report found that plan names are not shown in results. Only decisions about plans the department regulates are included.
- Cost
- Free to search.
- Where
- California
- How to start
- Type a drug, treatment, therapy or condition into the keyword box. The page also links to the full data on the state's open data portal.
- Phone
- 1-888-466-2219, as printed on the provider's page
- Have ready
- The name of the drug, treatment or condition in your denial; The reason your plan gave for the denial
Where this comes from
- Provider
- California Department of Managed Health Care
- Source we read
- https://wpso.dmhc.ca.gov/imr/
- Date we read it
- . This is not a fresh check.
- Date the provider printed
- Not displayed
- What we checked
- We read the provider's public page. We have not verified availability, eligibility or outcomes for any individual.
Other starting points
- Program or service
AppealArmor
A free web tool that reads a photo or text of your denial letter, shows you what it read, and emails an appeal letter and a Next Steps sheet with where to send it and your deadline. It also has a deadline calculator.
From AppealArmor
- Program or service
Crohn's & Colitis Foundation appeal letter library
Customizable appeal letters for Crohn's disease and ulcerative colitis treatments, tests and dose changes, including a request to use a biologic without first failing other drugs. Written for the doctor's office to edit.
From Crohn's & Colitis Foundation
- Program or service
Fight Health Insurance
A free tool that uses artificial intelligence (AI) to draft appeal letters from a photo or text of your denial letter. It also has a denial explainer, glossary and state help pages. Run by a company, not a nonprofit or law firm.
From Fight Health Insurance, Inc.