What is an IME?

An Independent Medical Examination (IME) is a medical exam that the insurance company schedules in a Massachusetts workers’ compensation case. The insurer selects and pays the doctor to evaluate your injury, your diagnosis, and your ability to work. Despite the name, the exam does not operate as a truly independent evaluation.

Insurance companies use IMEs to support decisions about your claim. The insurer may request an IME to determine whether your injury relates to your job, whether you remain disabled, whether you need ongoing treatment, or whether you can return to work. In many cases, the insurer relies on the IME report to justify denying, reducing, or terminating your benefits.

You must attend the IME if the insurance company schedules it. If you fail to appear, you risk a suspension of your benefits. The IME involves a one-time evaluation, not ongoing treatment, and the doctor does not serve as your treating physician.

The IME doctor’s opinion can carry significant weight in your case, especially if it conflicts with your treating doctor’s opinion. However, your treating physician usually has a stronger foundation because they have followed your condition over time. Consistent treatment and well-documented medical records can help you challenge an unfavorable IME report.

In some cases, the Massachusetts Department of Industrial Accidents (DIA) assigns an impartial medical examiner under Section 11A. That examiner provides an opinion that often carries substantial weight in the litigation process.

If you have an IME scheduled, take the exam seriously. Answer questions honestly and consistently. Do not exaggerate your symptoms. The doctor will evaluate both your responses and your overall presentation during the exam.

If you have questions about an IME or how it may impact your workers’ compensation benefits, you can contact our office here:
👉 https://www.chisholmllc.com/contact/

For a broader overview of your rights under Massachusetts workers’ compensation law, visit:
👉 https://www.chisholmllc.com/practice-areas/workers-compensation/