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What is an Agreed Medical Evaluation (AME)?

An Agreed Medical Evaluator is one selected by mutual agreement between your attorney and the insurance company. Unrepresented injured workers may not enter agree to an AME with the insurance company, for the protection of the worker (presumably because the State does not believe that the insurance company will be fair). Agreed Medical Evaluators are […]

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What Happens During A Panel QME Or AME Evaluation?

A Panel Qualified Medical Examination is a medical legal evaluation performed by a state assigned doctor from the 3 doctor panel that was received in your case. this doctor reports on the legal issues in your case and is not a treating doctor.  If you are unrepresented, the only type of medical legal examination you […]

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What is a Panel Qualified Medical Evaluator (QME)?

A Panel Qualified Medical Evaluator is a doctor chosen from a state issued list of three doctors. Qualified Medical Evaluators have passed a test given by the state allowing them to provide medical examinations in Workers’ Compensation cases. The State of California keeps a list of Qualified Medical Evaluators according to specialty and geographical location.

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Why is it very important to respond to the Insurance Companies Panel QME letter within ten days?

Because if you don’t respond in ten days, the Insurance Adjuster gets to choose the Specialty AND the Doctor from the list of three. The Insurance Adjuster is familiar with the process and is motivated to choose the most conservative doctor possible. Commonly, the adjuster will select the specialty, Orthopedics, expecting a report that favors […]

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