IPRO has been contracted by the California Department of Managed Health Care (DMHC) to conduct Independent Medical Review (IMR) services in accordance with the Knox Keene Act (KKA), Article 5.55 and Section 1370.4.
California Health Plans
Please send medical records to:
Email: DMHC@ipro.org
Fax: 516-387-3404
For information, please contact:
Project Coordinator: 415-677-2078
Administrative Supervisor/Billing: 415-766-8986
Enrollees of California Health Plans
If you have questions about appealing a health plan decision to deny, delay or modify a service as not medically necessary, experimental/investigational or non-emergent, please contact:
California Department of Managed Health Care
www.HealthHelp.ca.gov
Phone: 1-888-466-2219
TDD: 1-877-688-9891
Email: helpline@dmhc.ca.gov
Fax: 916-255-5241
