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Form DMHC20-224 Independent Medical Review (Imr) Application / Complaint Form - California (Lao)
This is a legal form that was released by the California Department of Managed Health Care - a government authority operating within California.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form DMHC20-224?
A: Form DMHC20-224 is the Independent Medical Review (IMR) Application/Complaint Form.
Q: What is the purpose of the Form DMHC20-224?
A: The Form DMHC20-224 is used to request an Independent Medical Review (IMR) in California.
Q: Who can use the Form DMHC20-224?
A: The Form DMHC20-224 can be used by California residents who have a complaint or dispute with their health care service plan.
Q: What is an Independent Medical Review (IMR)?
A: An Independent Medical Review (IMR) is a process in California that allows consumers to seek an impartial review of denials, delays, or modifications of health care services.
Form Details:
- Released on November 1, 2015;
- The latest edition provided by the California Department of Managed Health Care;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
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.
Download Form DMHC20-224 Independent Medical Review (Imr) Application / Complaint Form - California (Lao)
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