Independent Medical Evaluations (IMEs) Explained

Question	Answer
1. What is an IME?	An Independent Medical Evaluation (IME) is a medical assessment performed by a qualified medical professional who is not involved in the ongoing care of the patient. It is usually requested by a third party, such as an insurance company or legal representative, to gather objective information about the individual’s medical condition.
2. Who can request an IME?	An IME can be requested by various parties, including insurance companies, employers, attorneys, and government agencies. The purpose of the evaluation may vary depending on the specific situation.
3. What is the purpose of an IME?	The purpose of an IME is to obtain an unbiased and independent evaluation of the individual’s medical condition, prognosis, and treatment options. It helps to resolve disputes related to disability claims, personal injury cases, workers’ compensation claims, and more.
4. Who performs an IME?	An IME is typically conducted by an impartial and experienced healthcare professional such as a physician, specialist, psychiatrist, or psychologist. The evaluator should have expertise in the specific area relevant to the evaluation.
5. How long does an IME usually take?	The duration of an IME can vary depending on the complexity of the case and the type of evaluation required. It can range from a couple of hours to a full day or multiple appointments, including reviewing medical records and conducting tests.
6. What should I bring to an IME?	It is essential to bring any relevant medical documentation, including reports, test results, imaging scans, and medication lists. You should also provide a detailed medical history and any pertinent information related to the evaluation.
7. Will the IME provider share the evaluation results with me?	The evaluation results will be shared with the party requesting the IME, such as the insurance company or legal representative. However, you may be entitled to receive a copy of the report or summary if you request it.
8. Can I bring a family member or advocate to the IME?	In most cases, you are allowed to bring a family member or advocate to the IME. However, their role may be limited to providing emotional support and taking notes. They generally cannot participate actively in the examination or evaluation process.
9. Can I request a different IME provider if I’m not satisfied?	In some cases, you may be able to request a different IME provider if you have valid reasons for dissatisfaction, such as a potential conflict of interest or improper conduct. You should consult with the party requesting the IME to explore your options.
10. Are IME results binding?	IME results are typically not binding but serve as an expert opinion to assist in decision-making related to the specific case or claim. The final decision is usually made by the party responsible for resolving the dispute, such as a judge, insurance company, or employer.