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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 IMR decisions that are withdrawn or determined to be ineligible are not posted on the list below.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 While each IMR request is assigned a number when it is received, gaps in numbering for posted decisions reflect withdrawn, ineligible, or pending requests.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.

2014 Decisions

IMR Decisions 13-0000001 thru 13-0000009 IMR Decisions 13-0000010 thru 13-0000099 IMR Decisions 13-0000100 thru 13-0000999 IMR Decisions 13-0001000 thru 13-0004999 IMR Decisions 13-0005000 thru 13-0009999 IMR Decisions 13-0010000 thru 13-0099999 IMR Decisions 14-0000001 thru 14-0000009 IMR Decisions 14-0000010 thru 14-0000099 IMR Decisions 14-0000100 thru 14-0000999 IMR Decisions 14-0001000 thru 14-0004999 IMR Decisions 14-0005000 thru 14-0009999 IMR Decisions 14-0010000 thru 14-0099999

2013 Decisions

IMR Decisions 13-000001 thru 13-000009 IMR Decisions 13-000010 thru 13-000099 IMR Decisions 13-000100 thru 13-000999 IMR Decisions 13-001000 thru 13-004999 IMR Decisions 13-005000 thru 13-009999 IMR Decisions 13-010000 thru 13-099999