Table · dataset · 2026
Independent Medical Review (IMR) Determinations, Trend
Listed in California Open Data
This data is from the California Department of Managed Health Care (DMHC).
Description
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.
Links
Get the data
- data.chhs.ca.gov /dataset/b79b3447-4c10-4ae6-84e2-1076f83bb24e/resource/3340c5d7… ↗
Independent Medical Review (IMR) Determinations, Trend
download · from data ca gov
- data-dictionary data.chhs.ca.gov/dataset/b79b3447-4c10-4ae6-84e2-1076f83bb24e/resource/2c5c2144… ↗
download · from data ca gov
- All resource data data.chhs.ca.gov/dataset/b79b3447-4c10-4ae6-84e2-1076f83bb24e/resource/9ab6e381… ↗
download · from data ca gov
Where it is published
- California Open Data dataset page data.ca.gov/dataset/independent-medical-review-imr-determinations-trend ↗
landing page · from data ca gov
Documentation and papers
- Publisher page dmhc.ca.gov/AbouttheDMHC.aspx ↗
documentation · from data ca gov
Catalogue records · 1
- CKAN API data.ca.gov/api/3/action/package_show?id=f477562d-5b0d-4918-bcc3-a5637d234… ↗
metadata API · from data ca gov
Topics
- Stated by source
- Health and Human Services
- From keywords
- Medicine & Health
Provenance · 1 source records, 9 field assertions
| Source | Key | Last seen | Raw |
|---|---|---|---|
| California Open Data | f477562d-5b0d-4918-bcc3-a5637d234e4c | 10 d ago | JSON v1 |
| Field | Assertion | Extractor | Evidence |
|---|---|---|---|
| access_level | source · data ca gov | connector:data_ca_gov@1.0.0 | |
| concepts[field].local:field:medicine-health | mapping · data ca gov | connector:data_ca_gov@1.0.0 | |
| concepts[topic].ckan_group:data_ca_gov:health-human-services | source · data ca gov | connector:data_ca_gov@1.0.0 | |
| created_date | source · data ca gov | connector:data_ca_gov@1.0.0 | |
| description | source · data ca gov | connector:data_ca_gov@1.0.0 | /notes |
| license_text | source · data ca gov | connector:data_ca_gov@1.0.0 | |
| publication_date | source · data ca gov | connector:data_ca_gov@1.0.0 | |
| title | source · data ca gov | connector:data_ca_gov@1.0.0 | /title |
| updated_date | source · data ca gov | connector:data_ca_gov@1.0.0 |