A Qualified Medical Evaluator (QME) is a physician certified by the state to evaluate medical disputes in workers’ compensation cases. QMEs provide independent medical opinions on issues such as the extent of an injury, work restrictions, and the need for future treatment. Their reports help determine benefits and resolve disputes between injured workers, employers, and insurance carriers.

After your appointment, the QME will review your medical records, conduct any necessary examinations, and prepare a detailed report outlining their findings. This report is sent to the claims administrator and other relevant parties to help determine your benefits or resolve disputes in your case.

A QME is an independent medical examiner who provides an unbiased assessment for workers’ compensation cases. Unlike your treating physician, who oversees your ongoing care and treatment, a QME does not treat patients but evaluates medical conditions to help resolve disputes related to your claim.