This version of the form is not currently in use and is provided for reference only. Download this version of Form DMHC20-224 for the current year.
This is a legal form that was released by the California Department of Managed Health Care - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DMHC20-224?
A: DMHC20-224 is the Independent Medical Review (IMR) Application/Complaint Form used in California.
Q: What is the purpose of DMHC20-224?
A: The purpose of DMHC20-224 is to request an independent medical review or file a complaint in California.
Q: Who can use DMHC20-224?
A: DMHC20-224 can be used by California residents who have a dispute with their health insurance plan's decision regarding medical treatment or service.
Q: What is an independent medical review?
A: An independent medical review is a process where an independent third party reviews a health insurance plan's decision regarding medical treatment or service.
Q: Is there a deadline for submitting DMHC20-224?
A: Yes, there is a deadline for submitting DMHC20-224. It is generally within 6 months from the date of the health insurance plan's final decision.
Q: What happens after I submit DMHC20-224?
A: After you submit DMHC20-224, the California Department of Managed Health Care will review your application and determine if an independent medical review is necessary.
Form Details:
Download a printable version of Form DMHC20-224 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.