An independent medical examination (IME) occurs when a doctor who has not previously been involved in a person’s care examines an individual. There is no doctor patient relationship.
IMEs may be conducted to determine the cause, extent and medical treatment of a work-related injury or other injury where liability is at issue; whether an individual has reached maximum benefit from treatment; and whether any permanent impairment remains after treatment. An IME may be conducted at the behest of an employer or an insurance carrier to obtain an independent opinion of the clinical status of the individual. Workers’ compensation insurance carriers, auto insurance carriers, and self-insured employers have a legal right to this request. Should the doctor performing the IME conclude that a patient’s medical condition is not related to a compensatable event, the insurer may deny the claim and refuse payment.
For more information about physiatry, physical rehabilitation medicine, medical conditions or to setup an appointment, contact Stan Mathew, MD.