What is Independent Medical Examination?

What is an independent medical examination in personal injury law?

An independent medical examination (IME) is a medical evaluation requested by the opposing party — often the defendant’s insurance company — to assess the nature, extent, and cause of the plaintiff’s injuries. While it’s called “independent,” the doctor is usually chosen and paid for by the insurance company, so the evaluation may favor the defense. IMEs are commonly ordered when there’s a dispute over the seriousness of an injury or whether it was caused by the accident in question. The results can play a significant role in settlement negotiations and trial testimony.

• Medical exam requested by opposing party.
  
  
• Used to evaluate injury claims.
  
  
• Doctor often chosen by defense.
  
  
• Can affect settlement and trial strategy.
  
  

When are IMEs used in personal injury cases?

They’re typically used when the defense wants to verify the plaintiff’s medical condition or challenge the treating doctor’s findings. Courts may order an IME if the injury is a central issue and the defense shows good cause. The exam may include physical testing, medical history review, and sometimes psychological evaluation.

• Used when injuries are disputed.
  
  
• May be court-ordered.
  
  
• Includes testing and history review.
  
  
• Can involve physical or mental health exams.
  
  

Why are IMEs important to defendants?

They provide the defense with an alternative medical opinion that can be used to challenge the plaintiff’s case. If the IME report suggests the injury is less severe or unrelated to the accident, it can reduce settlement value. However, plaintiffs’ attorneys often prepare their clients to ensure they are truthful, consistent, and aware that the IME doctor is not their advocate.

• Offers defense-friendly medical opinions.
  
  
• Can limit damages or shift liability.
  
  
• Influences jury perception.
  
  
• Requires plaintiff preparation.
  
  

How should plaintiffs handle an IME?

They should arrive on time, be truthful about their injuries, and avoid exaggeration. Bringing a friend or legal representative for observation is sometimes allowed, depending on state rules. Plaintiffs should also review their medical history before the exam to ensure consistency with prior statements.

• Be truthful and consistent.
  
  
• Avoid exaggerating symptoms.
  
  
• Know rights and state rules.
  
  
• Consider observer or recording if permitted.
  
  

Conclusion:
An independent medical examination can significantly influence a personal injury case, so plaintiffs should approach it prepared, informed, and with guidance from their attorney.