All services

1 services found

Filter by topic
Select topics to help you find what you need:

Submit an IMR/Complaint Form

by Department of Managed Health Care

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). You can also file a Consumer Complaint when you have other issues with your health plan. These issues can consist of billing problems, cancellation of coverage, claim and copay disputes, delays in getting an appointment, referral or authorization, access to translation services, finding an in-network doctor, hospital, or specialist, complaints about a doctor or plan and continuity of care. Fill out and submit an IMR/Complaint Form online or call the DMHC Help Center at 1-888-466-2219 for assistance.

Topics: Health and wellness, State info and laws