Navigating the Appeals Process - Patient Advocate Foundation
Navigating the Appeals Process – Patient Advocate Foundation

Independent Medical Review (IMR) Program

Table of Contents

Maytag Repairman

Maytag Repairman

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

 

Understanding what you pay and when

Sample Appeal Letter
Sample Appeal Letter – 62 page guide – DOI Washington State
Gather documents, cancelled checks, warnings, late notice, emails, phone logs
Gather documents, cancelled checks, warnings, late notice, emails, phone logs

 

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   

 

 

 

 

Related Pages in Appeal & Grievances?  Section

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