If your health problem is urgent an IMR is usually decided within 7 days after the request qualifies for an IMR and the required documentation has been received by the DMHC’s Independent Medical Review Organization. This is called an expedited IMR. A health problem is urgent if it is a serious and immediate threat to your health. Your doctor must send us written documentation that your health problem is urgent. If your health problem is not urgent, an IMR is usually decided within 30 days after we receive the supporting documentation from you, the doctor and the health plan. Visit https://www.dmhc.ca.gov/FileaComplaint/FrequentlyAskedQuestions.aspx for more information.