Are independent medical evaluations necessary for a workers' compensation claim?

Yes, in the state of Washington independent medical evaluations, or IMEs, are necessary for a workers’ compensation claim. An IME is designed to evaluate an injured worker’s medical condition and help establish a link between an employee’s injury and the job they do. An IME also helps ensure that employers and insurance companies provide the benefits that an employee may be entitled to and are not taking advantage of an injured employee. In Washington, an IME doctor is not associated with either the injured worker’s employer or the insurance company. The IME doctor should provide an unbiased evaluation that is accepted by the Department of Labor and Industries in determining a workers’ compensation claim. The IME doctor is responsible for examining the injured worker, including reviewing prior medical records and physical exams, and offering an opinion on the injured worker’s condition and the relationship between the injury and the job. In order for an independent medical evaluation to be valid in Washington, all IME doctors must be licensed, qualified and certified with the Washington Department of Health. The IME doctor must also confirm that all medical information provided is accurate and current. They must also have a good understanding of the rules and processes set forth in the Washington workers’ compensation laws. Ultimately, the outcome of an IME will determine the course of action for a workers’ compensation claim. It is in the best interest of the injured worker to be truthful and honest when undergoing an IME and to follow the instructions of the doctor. The IME results could help determine the extent of a workers’ compensation benefits.

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