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Request an independent medical review

Request review of an eligible health coverage denial; check your plan’s regulator, grievance requirements, filing deadline and urgent-review rules.

Before you start

Check which regulator oversees your actual policy or health plan. A company name alone does not establish jurisdiction.
Keep the insurer’s decision, your grievance record and supporting documents. IMR has specific eligibility and filing deadlines.
If there is an immediate serious threat to your health, contact the regulator for urgent assistance; ordinary grievance waiting rules have exceptions. County maps help you browse and do not determine plan eligibility.

2 guides with reviewed service links · Sutter

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California58 counties

County directory Reviewed service guides available

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Map source

U.S. Census boundaries via U.S. Atlas · 2017 edition, simplified for display.

California state agency · Statewide

California CDI — Insurance Complaints & Medical Review

California CDI-regulated insurance; jurisdiction depends on the policy and complaint.

Request a CDI independent medical reviewOfficial instructions

For eligible medical-necessity, experimental/investigational or emergency-care disputes involving CDI-regulated health insurance. Check grievance and filing deadlines.

Service area: CDI-regulated insurance only; confirm policy and issue jurisdiction. Area details & sources

Request a CDI independent medical review

If a request does not qualify for IMR, CDI’s guide says it is referred to the department’s complaint/mediation programme.

Official information checked October 16, 2026 · Details & sources

Source checked October 16, 2026

California Department of Insurance · CDI — Independent Medical Review Program (opens in a new tab)

Main content — service cdi imr

Independent Medical Review Program (IMR)

Saved evidence: b49b5bcea57ca0e5 · Agent source review

Full guide, contact details & sources →

California state agency · Statewide

California DMHC — Health Plan Complaints & Medical Review

California DMHC-regulated health plans; plan jurisdiction and IMR eligibility must be confirmed.

Request a DMHC independent medical reviewOfficial instructions

DMHC screens the issue for IMR eligibility. Consumer complaints and IMR use one application; medical review has its own conditions and deadline.

Service area: DMHC-regulated plans only; check the plan and issue before filing. Area details & sources

Request a DMHC independent medical review

If the problem does not qualify for IMR, DMHC says it will review it through the consumer complaint process without a second application.

Official information checked October 16, 2026 · Details & sources

Source checked October 16, 2026

California Department of Managed Health Care · DMHC — How to File a Complaint (opens in a new tab)

Main content — service dmhc imr

If your Health Plan denies, changes or delays your request for medical services, denies payment for emergency treatment or refuses to cover experimental or investigational treatment for a serious medical condition, you can apply for an Independent Medical Review (IMR).

Saved evidence: cf22574902ba5f14 · Agent source review

Full guide, contact details & sources →