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. QME services are essential for fair case resolution, offering unbiased evaluations that support accurate decision-making and timely access to appropriate medical care.

After your appointment, the QME will review your medical records, perform any needed examinations, and prepare a detailed report of their findings. This report is sent to the claims administrator and other relevant parties to help determine your benefits or settle disputes in your case. QME services provide an objective, thorough evaluation to ensure fair decisions and help move your workers’ compensation claim forward smoothly.

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. Their role is crucial in ensuring fair evaluations, accurate diagnoses, and objective opinions that support legal decisions and promote proper compensation for injured workers.