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• A process where expert medical professionals, who have no relationship to your health insurance company or health plan, review specific medical decisions made by the insurance company. California law provides for an Independent Medical Review (IMR) program, which is administered by the CDI or the DMHC depending upon what type of coverage you have (indemnity or HMO).

  California Department of Insurance - Cite This Source - This Definition
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  Cite Definition for Independent Medical Review (IMR)

  American Psychological Association (APA)

  Independent Medical Review (IMR). (n.d.). Glossary of Health Insurance Terms. Retrieved November 30, 2022, from website: http://www.expertglossary.com/definition/independent-medical-review-imr.

  Chicago Manual of Style (CMS)

  Independent Medical Review (IMR). www.insurance.ca.gov. Glossary of Health Insurance Terms. California Department of Insurance. http://www.expertglossary.com/definition/independent-medical-review-imr (accessed: November 30, 2022).

  Modern Language Association (MLA)

  "Independent Medical Review (IMR)." Glossary of Health Insurance Terms. California Department of Insurance. 30 November. 2022 http://www.expertglossary.com/definition/independent-medical-review-imr.

• Browse Related Terms: Appeal, Attest/Attestation, Carriers, Certificate of Coverage, Certificate of Creditable Coverage, Exclusions and/or Limitations, Independent Medical Review (IMR), Insurance Company, Medical Underwriting, policy, Reinsurance, Solvency, Summary of Benefits and Coverage, Summary of Benefits and Coverage (SBC)