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Everything here is free to read, and nothing here is a claim about your case. Built from California’s published records and modified by us — not official government data. How these numbers were made.

Cited authority · 2021-2025 · California

American Academy of Dermatology

Independent medical reviewers in California named American Academy of Dermatology in 47 published decisions over 2021-2025. These are the disputes it turned up in.

66.0%

Overturned
31 of 47
Era
2021-2025
Jurisdiction
California DMHC IMR
31 overturned16 upheld

What this number is, and is not. It is the outcome of decisions in which the authority was named — not the effect of naming it. Reviewers cite the standard they applied, so the citation and the outcome share a cause. Read it as “disputes where this standard was the yardstick came out this way”, never as “citing this standard produces this result”.

These count only denials appealed all the way to independent review. Fewer than 1% of denials are appealed internally at all, so a share here is not the share of denials that are wrong — it is the share of contested ones reviewers did not sustain. California only, and only plans the state regulates: not self-funded employer plans, Medicare or Medicaid.

Free help. The California DMHC Help Center files an Independent Medical Review at no cost — 1-888-466-2219, dmhc.ca.gov. It is the same review these decisions came from, and you do not need us or a lawyer to reach it.

What stands out here

computed from this standard
  • where it is used

    It appears most in pharmacy disputes — 30 of the 47 decisions citing it, 64% of its whole footprint, at 93.3%.

  • the condition behind it

    The condition it is most often applied to is skin (n=30, 96.7% overturned).

Treatment classes

computed
  • Pharmacy93.3%30
  • Diagnostic imaging & screening13
  • Cancer Care2
  • Durable medical equipment1
  • Electro, thermal & radiofrequency1

Condition classes

computed
  • Skin96.7%30
  • Cancer14
  • Immune disorders2
  • Endocrine & metabolic1