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  1. #1
    Join Date
    Mar 2019
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    12

    Default Do Insurance Companies Always Request IME Exams

    My question involves workers compensation law for the state of: can

    So I have an IME exam coming up, and I'm curious....Is there ever any instance where an IME exam is not requested by the insurance company? I tried googling but couldn't find any info.

  2. #2
    Join Date
    Sep 2010
    Posts
    18,908

    Default Re: IME Exams

    Canada is not the United States which is the scope of this forum.
    Insurers are often sources of such request in the US, but really the opposing party (regardless of who they are) in a litigation also will make the request.

  3. #3
    Join Date
    Sep 2011
    Posts
    464

    Default Re: IME Exams

    the comp carrier is unlikely to request an IME when the treating physician believes the patient's condition is not work related or when the claim has been denied for legal or employment reasons.
    does that help your situation?

  4. #4
    Join Date
    Mar 2019
    Posts
    12

    Default Re: IME Exams

    Quote Quoting greentree
    View Post
    the comp carrier is unlikely to request an IME when the treating physician believes the patient's condition is not work related or when the claim has been denied for legal or employment reasons.
    does that help your situation?
    Hi Greentree

    Not really. I wasn't looking for help. I was just curious. I just don't understand how severe cases, like an amputation or paralysis, would still need a second opinion.

  5. #5
    Join Date
    Sep 2011
    Posts
    464

    Default Re: IME Exams

    the practice of medicine is very subjective and not an exact science; there are no provable fixed outcomes when dealing with complex human biology. it does better when it uses the collaborative process of multiple approaches. the more complex the injury/condition, the more varied are the treatment options and outcomes. a similar injury can kill one person while another will recover; the variables are too great between patients to allow identical results in every case. when you mix in the legal requirements and fiscal incentives of liability decisions, the medical opinions can be extremely varied.

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