Mandatory Utilization Review, Independent Medical Review, and the Appeal Process

In 2004, California mandated that treating physicians request authorization from the employer, or its claims administrator, before proceeding with anticipated medical services (e.g. surgery, MRI scans, physical therapy, etc.). The law also requires that every employer, or its claims administrator, review the medical necessity of these physicians' requests for authorization.

  • ​​


    This premium content is for our members. For immediate access, join online or by phone at 800-331-8877. Or Start a Free Trial Now for 7 days.

    Already a Member? Sign In Below.

Sign In
Remember Email