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Click ‘Get Form’ to open the statement ime in the editor.
Begin by entering the Entity Name(s) as registered with the Department of State. Ensure you attach copies of organizational documents like articles of incorporation.
Fill in the Federal Tax ID No(s.) and provide the name(s) under which your entity conducts business, along with any associated website URLs.
Complete the contact information for a designated representative, including their name, title, and phone number.
List all administrative office addresses and New York business locations where your IME entity operates.
Answer questions regarding criminal convictions of officers or partners, detailing any necessary explanations.
Describe services provided by your IME entity and include details about employees or independent contractors involved.
Utilize the blank page provided to summarize your scheduling approach for IMEs, ensuring clarity on all services offered during this process.
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Most IME doctors are not fair and are biased in favor of the insurance companies that hire them. These one-time IME exams can be enormously profitable for the doctors who perform them. If these doctors want to keep getting the work, many admit they must reliably generate the results sought by the insurer.
Can I refuse an IME?
By law, an IME may only be ordered for the following reasons: To determine claim claim allowance or reopening; To resolve a new medical issue, an appeal, or case progress; and/or. To evaluate the workers permanent disability or work restriction.
What happens when my IME doctor agrees with my doctor?
The doctor will typically review your treatment records provided by your disability insurer prior to the examination. Then comes the IME the examination itself will usually last about one hour and consists of an interview and physical examination.
What does IME stand for?
What happens when the IME doctor agrees with my doctor? If your workers compensation claim is being contested and the IME doctor agrees with your doctor, in most cases the insurance company will be forced to concede your case, unless there is some other basis for defending.
What does an IME stand for?
Although you are under no legal obligation to agree to an IME, if you refuse, the insurance company may claim you are not seriously injured and could deny your claim. If that happens, you may have to file a lawsuit and a judge may order you to undergo an IME anyway.
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Wash. Admin. Code 296-23-377 - [Effective 7/1/2025] If an
When doing an impairment rating examination, the IME provider must first review the determination by the attending provider that the worker has docHubed maximum
Cost Statement and in column 3, the contractor number. See CMS Line 23--Section 422 IME FTE Cap--Enter the number of allopathic and osteopathic IME FTE.
IME forms. IME-3 - Practitioners Report of Request IME-7 - Statement of Registration for entities deriving income from independent medical examinations
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