ARTICLE 3.5. Appeals Seeking Independent Medical Review

Article 3.5 added by Stats. 1999, Ch. 533, Sec. 2.

§§ 10169–10169.5 · 5 sections

• § 10169 (a) Commencing January 1, 2001, there is hereby established in the department the Independent Medical Review System. (b) For the purposes of this chapter,…
• § 10169.1 (a) If there is an imminent and serious threat to the health of the insured, as specified in subdivision (c) of Section 10169.3, all necessary information and…
• § 10169.2 (a) The department shall contract with one or more independent medical review organizations in the state to conduct reviews for purposes of this article. The…
• § 10169.3 (a) Upon receipt of information and documents related to a case, the medical professional reviewer or reviewers selected to conduct the review by the…
• § 10169.5 (a) After considering the results of a competitive bidding process and any other relevant information on program costs, the commissioner shall establish a…