Independent Medical Evaluations (IMEs) Explained

Question	Answer
What is an Independent Medical Evaluation (IME)?	An Independent Medical Evaluation (IME) is a medical examination conducted by a qualified physician who is not involved in the ongoing treatment of the patient. It is performed to assess a patient’s medical condition, disability, or impairment for various purposes such as legal proceedings, insurance claims, or disability evaluations.
What is the purpose of an IME?	The purpose of an IME is to provide an objective and unbiased assessment of a patient’s medical condition, treatment progress, or functional abilities. It helps provide additional information to stakeholders such as insurance companies, attorneys, or courts to make informed decisions regarding claims, legal cases, or disability determinations.
Who typically requests an IME?	An IME can be requested by various parties including insurance companies, employers, attorneys, government agencies, or individuals involved in legal or insurance-related matters. The party requesting the IME may have a specific reason or concern that needs clarification or independent assessment.
Who performs an IME?	An IME is performed by a qualified and independent physician who has expertise in the relevant field of medicine. This physician should have no prior involvement in the patient’s treatment to ensure objectivity and independence in the evaluation.
What should a patient expect during an IME?	During an IME, a patient can expect a comprehensive medical examination, which may include a review of medical records, physical examination, diagnostic tests, and interviews. The evaluating physician will gather all necessary information to form an unbiased opinion about the patient’s medical condition.
How long does an IME usually take?	The duration of an IME can vary depending on the complexity of the case, the type of evaluation required, and the specific guidelines provided by the requesting party. It can range from a few hours to a full-day assessment.
Will the IME physician provide treatment recommendations?	The primary focus of an IME is to assess the patient’s current medical condition or functional abilities rather than providing treatment recommendations. However, in some cases, the physician may suggest further diagnostic tests or consultations to explore specific areas of concern.
Is an IME covered by insurance?	In many cases, the cost of an IME is covered by the party requesting the evaluation, such as an insurance company or employer. However, coverage may vary depending on the specific policy, jurisdiction, or reason for the evaluation. It is recommended to check with the insurance provider or the requesting party regarding coverage details.
Can a patient bring someone along during the IME?	In most cases, a patient is allowed to bring a support person or witness to the IME. However, it is advisable to inform the conducting physician or the requesting party beforehand to ensure it aligns with their specific requirements or guidelines.
How soon can a patient expect to receive the IME report?	The time required to receive the IME report can vary depending on the specific circumstances, the complexity of the case, and the agreement between the evaluating physician and the requesting party. It can typically range from a few days to a few weeks.