An Independent Medical Examination (IME) occurs when a physician who has not previously been involved in a person’s care examines an individual. In other words, there is no prior doctor/therapist-patient relationship.
IMEs may be conducted to determine the cause, extent and medical treatment of a work-related or any other injury where liability is at issue; whether an individual has reached Maximum Medical Improvement (MMI) from treatment; and whether any Permanent Partial Impairment (PPI) 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/therapist performing the IME conclude that a patient’s medical condition is not related to a compensable event, the insurer may deny the claim and refuse payment.
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