Independent Medical Evaluations (IMEs) Explained

FAQs	Answers
1. What is an Independent Medical Evaluation (IME)?	An IME is a thorough medical examination conducted by an impartial healthcare professional who is not involved in the patient’s regular care. It is typically requested by an insurance company, employer, or legal representative to assess the individual’s medical condition, determine causation, evaluate the need for treatment, or determine the extent of impairment or disability.
2. Who performs an IME?	An IME is carried out by a qualified healthcare professional, often a medical specialist or physician, with expertise in the specific area relevant to the evaluation.
3. What is the purpose of an IME?	The main purpose of an IME is to obtain an independent and objective medical opinion about an individual’s injuries, illnesses, or conditions. It helps stakeholders make informed decisions regarding medical treatment, insurance claims, disability determinations, or legal proceedings.
4. How is an IME different from a regular medical examination?	An IME differs from a regular medical examination as it is not part of a patient’s ongoing healthcare. It focuses specifically on evaluating the individual’s medical status, injuries, functional limitations, and future medical needs, rather than providing treatment or follow-up care.
5. Who requests an IME?	An IME can be requested by various entities, including insurance companies, employers, attorneys, or government agencies, depending on the context. The party requesting the evaluation bears the associated costs.
6. Are IMEs mandatory?	IMEs can be mandatory in certain situations, such as when required by an insurance policy or as part of a legal proceeding. However, participation in an IME is typically voluntary, and individuals may choose to decline the evaluation.
7. How long does an IME take?	The duration of an IME can vary depending on the complexity of the medical issues being evaluated. It can range from a few hours for a straightforward assessment to multiple days for comprehensive evaluations involving various specialists.
8. How should I prepare for an IME?	Prior to an IME, it is advisable to gather all relevant medical records, test results, and any other documentation related to the condition being assessed. It is also important to be honest, provide accurate information, and fully cooperate during the evaluation process.
9. Can I bring someone with me to the IME?	In most cases, individuals undergoing an IME have the right to bring a support person, such as a family member or friend, to the evaluation. This person typically does not participate actively but offers emotional support.
10. What happens after the IME?	After the IME, the healthcare professional prepares a detailed report outlining their findings, medical opinions, and recommendations. This report is typically provided to the party or entity that requested the evaluation and may be used in decision-making or legal proceedings.