Sample Appeal Letter-
62 page guide - DOI Washington State

Sample Appeal Letter

Appeal decesions - bring as much info as possible

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eoc.complaints
Specimen EOC Evidence of Coverage - Appeals - Grievances

 

California Health Care Foundation on IMR The California Department of Managed Health Care (DMHC)  The DMHC regulates HMOs and some PPOs in California  – Try using the Insurance Company procedure first

Complaint Form IMR

1-888-HMO-2219

[email protected]

Contact Form

CA Department of Insurance  

IMR – Independent Medical Review  

ONLINE complaint form insurance.ca.gov/complain  Fillable Claim Form   

 

8 comments on “Independent Medical Review

  1. What would be the appropriate venue for a Knox Keene Violation involving a disabled child.

    We are enrolled in a locally governed managed medical plan & no one seems to understand that it always applies to a disabled child.

    We passed IMR.

    They took away my kids best treatment.

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