The Independent Medical Review Program

Table of Contents What is an Independent Medical Review? . 1 Who Can Request an Independent Medical Review? 2 When Can an Independent Medical Review Be Requested?���������������� . 2 What Issues Are Eligible for an Independent Medical Review? . . . . . . ..3 What Issues Are Not Eligible for an Independent Medical Review?. ..3 How Does the Independent Medical Review ProgramWork?. . . . . . .4 What Are the Criteria Used in an Independent Medical Review Determination? 6 Is there a Way to Process an Independent Medical Review More Quickly in Extraordinary Circumstances? 7 Will an Independent Medical Review be Costly? 7 Does Independent Medical Review Participation Prevent Future Legal Action? 8 Are Medical Records Kept Confidential in the Independent Medical Review Process? 8 How Do I Request an Independent Medical Review from the California Department of Insurance? 8 Health Insurance Terms and Phrases 9 Talk to the Department of Insurance 11