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Frequently Asked Questions (FAQ's)
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Q: What is an IME?
A: An IME or Independent Medical Examination is commonly
referred to as an “adverse examination”.
It is considered an “adverse exam” because
the insurance company’s examining doctor is not
seeing you for the purpose of treatment or finding relief
for your condition. The purpose of this exam is to provide
a report to your no-fault insurer recommending discontinuation
of your no-fault medical / chiropractic benefits…which
is adverse to your rights.
Q: Am I required to attend an IME?
A: Most often yes. Your insurer has the right, under
Minnesota No-Fault insurance laws, to have you examined
by a doctor of its choice when you make a claim for
health care payments. Because of the nature and purpose
of the exam, we recommend that you discuss this with
your attorney to know all your rights.
Q: Should I tell Brookdale Health when
I am scheduled to attend an IME?
A: Yes. Let us know promptly so we can make sure all
your insurance papers are completed and bills have been
paid through the current date.
Q: What can I expect?
A: Usually the doctor or staff will take your history
and then the doctor will do a brief exam and question
you about your history and the injury. Our advice is
to be honest and following the exam, for your records,
document the proceedings of the IME (time, date, examining
doctor, time spent on exam and history, etc…).
If you have been in a low speed impact crash, your benefits
will most likely be discontinued.
Q: When will they schedule an IME?
A: Usually within 3 to 6 months from the date you start
treating for your injuries. It may be done sooner than
that, if your vehicle did not have much damage or if
you do not cooperate fully with the claims adjuster.
Q: How To Handle A Denial Or Termination Of No-Fault
Benefits
A: Please discuss your options with our Insurance Manager
or one of our doctors. You may need legal representation
to ensure you receive the benefits provided to you through
your insurance policy.
Q: Can Your Insurer Require You To Receive Care
From A Provider Or Clinic They Select?
A: No. You have the right under MN No-Fault laws to
choose where you want to receive care. There is movement
by insurance companies to focus on rationed care for
motor vehicle crash injuries. Beware of misleading advertising
regarding your rights.
This information is based on MN Laws
and Statutes and years of experience treating injuries
as a result of a Motor Vehicle Collision. Your insurer
may refuse payment for various reasons, but we find
that No-Fault benefits are paid when verified by your
doctor and employer.
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