Six weeks of physical therapy, and then a form letter tells you to see a doctor the insurance company picked. Your own physician is not invited. Attendance is not optional, and nobody explains what is actually at stake.
An appointment like that carries weight far past the hour you spend in the room. One paragraph in the resulting report can end wage checks, close off a surgery your doctor already scheduled, or lock in a rating that follows your claim to the finish.
Before that date arrives, Atkinson Gerber Law Office will review the same file the examiner will be reviewing. Our team of St. Paul independent medical exam (IME) lawyers is ready to help. Call 651-333-3636 or contact us online for a free consultation.
An independent medical examination, abbreviated as IME, is a single evaluation by a physician whom the insurance company hires and pays. Nobody treats you there. The visit exists to produce a written opinion for the insurer’s file in your workers’ compensation claim.
Most appointments follow the same shape, and knowing that order ahead of time takes some of the fear out of the drive over. Very little of it resembles a normal doctor visit. A typical hour includes:
Nothing that happens during the examination changes the medical records the examiner has already reviewed. Those records often carry more weight than the appointment itself, making the history documented by your treating doctors more important than any single answer you give.
Insurers order exams for reasons that sound medical and make financial sense. Each referral traces back to a decision an adjuster wants supported on paper before any money stops. These goals drive almost all of them:
Reports seldom split the difference, and they rarely surprise the insurer who ordered them. Workers hurt in serious workplace accidents see the same pattern, where the examiner agrees with the treating doctor about the diagnosis and parts ways on everything that costs money.
Concern is understandable, but there is no reason to panic. The examiner cannot terminate your job, stop your benefits, or decide your claim. The report is only one piece of evidence that a workers’ compensation judge considers along with the rest of the medical record. During the examination, pay attention to details such as:
Write those observations down the same day. Small details slip away fast, and workers with back injuries or shoulder tears frequently discover that a note written that afternoon beats a memory reconstructed months later at a hearing.
A negative report does not automatically end your benefits. Under Minnesota Statutes § 176.238, an insurer seeking to discontinue benefits must provide written notice, explain the basis for its decision, and include the reports supporting it. Benefits that may be affected include:
Losing one does not mean losing them all, and none of them disappear without written warning. Claims heading toward permanent total disability benefits draw the closest scrutiny. The opinion on work capacity usually determines which pieces the insurer pursues first.
Minnesota law provides a process to challenge a benefit denial, and deadlines begin as soon as the notice is served. You are not required to accept the examiner’s opinion as the final word. After receiving a notice, your options include:
The deadline decides which option is still available to you. Under Minnesota Statutes § 176.239, a request for an administrative conference must be filed within 12 calendar days after the commissioner receives the discontinuance notice, and a missed deadline places the dispute on a slower track.
Our firm has handled workers’ compensation claims and nothing else since it opened, and over 70 years of combined experience backs the file review our attorneys conduct before an exam. Injured workers throughout Ramsey County receive the same preparation, whether a claim is small or life-changing.
Travel is not always realistic after a serious injury. Our team comes to homes and hospital rooms when getting to an office would cost you a day of recovery, and a first meeting with our St. Paul independent medical exam lawyer team is a free consultation.
Yes. Minnesota law lets you bring your own physician or an unpaid witness if you ask, so tell the insurer in writing before the date. A spouse or friend who watches the clock and takes notes gives you a second account of the visit.
Yes. The insurer covers mileage, parking, and the wages you lose by attending, plus meals or a hotel when the trip requires them. Reimbursement usually follows a written request rather than arriving on its own, so save every receipt.
Absolutely. The examination changes nothing about your treatment, and gaps in care give an insurer an argument that you recovered. A visit with your treating physician soon after the exam also puts a current picture of your condition into the record.
Exam dates arrive faster than most people expect, and the work that decides the outcome happens first. Workers across the East Metro bring notices like yours to Atkinson Gerber Law Office every week. Don’t wait to get help; call 651-333-3636 or contact our firm online today to put our St. Paul IME lawyer team on the file.