Understanding the Utilization Review & Independent Medical Review Process

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Established in 1914 by the state legislature, State Fund is California's most reliable provider of workers' compensation insurance and a vital asset to California businesses. State Fund supports California's entrepreneurial spirit and plays a stabilizing role in the economy by providing fairly priced workers' compensation insurance, helping California employers keep their workplaces safe, and restoring injured workers.

Understanding the Utilization Review & Independent Medical Review Process


Utilization Review simply ensures the treatment prescribed by your treating doctor is necessary and appropriate for your injury. Medical treatment requests can be authorized, modified, or denied. If a treatment request is modified or denied and you disagree, you and your doctor have a couple of options. Your doctor can request a second review and provide additional information or you can request an Independent Medical Review (IMR), where the treatment request is reviewed by an independent panel of medical professionals. Watch this video to learn more.

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