Health care providers are a crucial part of California's health care delivery system. Although the DMHC does not license or regulate providers or medical groups, we make sure that claims are paid fairly and timely.
If you are a provider seeking to assist an individual enrollee in a grievance with a health plan, please read about the Consumer Complaint and Independent Medical Review programs at the DMHC's HMO Help Center. The DMHC must receive forms signed by a patient or an authorized assistant for the patient.