Independent Medical Examinations: A Comprehensive Guide
Posted on November 10th, 2024 by Don Kunkel
Are you the party requesting an independent medical evaluation, or are you the individual who will undergo the exam? Both parties often have many questions about the process—here are answers to some common questions.
What is an Independent Medical Evaluation?
An independent medical evaluation, also known as an independent medical examination, is an objective, third-party medical assessment. It can be requested by insurance companies, benefits providers, HR managers, lawyers, or employers. Independent medical evaluations are typically conducted when an individual has been injured or claims to have a medical condition, requiring third-party documentation to confirm the extent of their injuries or condition.
The independent medical evaluation report is often used to support decisions on benefits, coverage, or settlements for the individual. Additionally, the report may provide recommendations for safe return-to-work procedures for employers.
Learn more about the wide range of Independent and Medical Evaluations.
Who Organizes an Independent Medical Evaluation?
An independent medical evaluation is organized and managed by an independent medical review company. The client—such as an insurance company—contacts the independent medical evaluation service provider to coordinate the process for the examinee.
The independent medical evaluation service provider ensures that an objective, highly qualified physician, located near the examinee, conducts the independent medical evaluation. They also handle the secure preparation and delivery of the medical report to the client.
Who Conducts an Independent Medical Evaluation?
An independent medical evaluation must be conducted by a healthcare provider who has received specialized training and is designated as an authorized independent medical evaluation provider. Importantly, the examiner cannot have a prior patient-doctor relationship with the examinee to ensure impartiality.
The independent medical evaluation assessors conducting the evaluation specialize in various medical fields. To learn more about our areas of expertise, visit our medical specialties page.
What Can You Expect from an Independent Medical Evaluation?
The goal of the independent medical evaluation is to assess medical symptoms related to an accident, injury, or illness. During the evaluation, the physician will determine the examinee’s ability to function and respond to physical and/or mental tasks. Based on their findings, they may make recommendations or suggest restrictions regarding daily activities at home, work, or during recreation.
The examiner will follow standard procedures, including:
- Confirming the examinee’s identity.
- Stating the party that requested the independent medical evaluation.
- Explaining the procedures and reporting process for the evaluation.
Additionally, the examiner will answer any questions the examinee may have before and during the independent medical evaluation. Learn more about what to expect.
How Do You Prepare for an Independent Medical Evaluation?
Examinees can prepare for their independent medical evaluation by following these steps:
- Gather documentation: Collect any relevant medical records, such as X-rays or specialist reports, to share with the examiner.
- Dress comfortably: Wear loose-fitting, comfortable clothing and flat shoes. Consider bringing a T-shirt and shorts for physical examinations.
- Eat before the evaluation: Ensure you have a meal beforehand, as some independent medical evaluations may take several hours.
- Plan ahead: Arrange child care if needed, as it’s best to attend the independent medical evaluation without distractions. A companion or partner can accompany you to the evaluation, but their role is generally limited to support rather than participation.
For individuals attending virtual evaluations, learn more about our virtual intake process.
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