Louisiana Request For Independent Medical Examination

State:
Louisiana
Control #:
LA-SKU-0637
Format:
PDF
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Description

Request For Independent Medical Examination

The Louisiana Request For Independent Medical Examination (RIME) is a form used for the purpose of obtaining an independent medical evaluation from a qualified doctor. It is typically used in workers’ compensation claims, liability claims, disability insurance claims, and other cases where an independent medical opinion is needed. The RIME form must be completed by the requesting party and must include detailed information about the injured person, including the name, address, date of birth, Social Security number, and a description of the injury. The RIME form is used to request an independent medical examination (IME) from a doctor qualified to provide an opinion on the injury or illness. The IME is typically conducted by a doctor who is not employed by the requesting party and has no vested interest in the outcome of the examination. The doctor chosen for the IME must be licensed and have specific qualifications for the type of examination requested. There are two types of Louisiana Request For Independent Medical Examination: Qualified Medical Evaluator (ME) and Agreed Medical Evaluator (AME). I am typically used when a claimant is seeking a more in-depth evaluation of an injury or illness, while AME is often used when a claimant is seeking a more limited evaluation.

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FAQ

Be 100% Honest ? Don't Exaggerate Your Injuries Concealing prior injuries or exaggerating current ones will only hurt your case because once the truth is found, your credibility on how injured you are will be damaged.

Under Louisiana law, the employer and the workers compensation insurance company have the right to have the injured employee examined by a doctor whom they choose. This examination by the insurance company's doctor is called a Second Medical Opinion (SMO).

An independent medical examination (IME) is a medical exam that is performed by a doctor with whom you have no prior relationship.

An independent medical examination (IME) is a medical evaluation performed by a medical professional on a patient who was not previously involved in the treatment of that patient, to evaluate the patient's course of prior treatment and current condition.

Under Louisiana's Code of Civil Procedure Article 1464, when a party's mental or physical condition is at issue, the court may order that party to submit to an additional medical opinion regarding physical or mental examination.

They can be a waste of money. The scheduling of the exams is typically very labor-intensive, time-consuming and expensive, and it is rarely a well-managed process. Poor communications between claims examiners, independent medical exam coordinators, and exam providers is commonplace.

More info

An IME is an independent medical evaluation that is used to resolve questions about your medical condition for purposes of a workers' comp claim. Below we have outlined a comprehensive checklist to help you prepare for an independent medical examination (IME). 1.There are several situations when an independent medical examination may be requested, so employers should be aware of the process. The doctor can ask you questions, have you complete an information sheet or questionnaire, and of course perform a physical examination. Many people are understandably hesitant to see a doctor they do not know, though it might be necessary to complete your injury claim. Reimbursement Request form (F800-115-000). Is the form timely and complete? (Including a signature and a copy of the UR decision); Has there been a prior request for IMR of the disputed treatment? Physical Capacity Evaluation. A worker requested medical exam (WRME) is an exam available to a worker under ORS 656.

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Louisiana Request For Independent Medical Examination