Independent Medical Review (IMR) decisions
The Independent Medical Review (IMR) program is part of an important essential overhaul of the California Workers’ Compensation System that was created pursuant to Senate Bill (SB) 863.
The IMR program provides an expedient method to resolve medical necessity treatment disputes for work-related injuries occurring on or after Jan. 1, 2013. On July 1, 2013, IMR will be available to resolve medical necessity treatment disputes for all dates of work-related injury as long as the requested treatment was denied, delayed, or modified following utilization review after Jan. 1, 2013.
The DWC has contracted with an independent medical review organization (IMRO), to conduct IMR on its behalf. The list below shows all IMR decisions issued since the program began on Jan. 1, 2013.
All IMR decisions are posted on DWC’s website shortly after being issued. IMR decisions that are withdrawn or determined to be ineligible are not posted on the list below. Further, IMR decisions may not be issued according to numbering sequence. While each IMR request is assigned a number when it is received, gaps in numbering for posted decisions reflect withdrawn, ineligible, or pending requests.
The IMR decisions listed below are in grouped into two categories (“2013” and “2014”), based on the calendar year in which the IMR decision was issued. In some cases, IMR applications that were submitted in 2013 (prefix CM13-) are found in the category titled “2014” if the decision was issued in 2014.