Do I have to attend a PIP "IME"In your contract with your insurance company, there is a Cooperation Clause, which requires you to attend an "Independent" Medical Examination. If you do not attend, the PIP Carrier can cut off PIP benefits without requiring a doctor's opinion.
What Happens at an "IME"?You will be required to go to a facility designated by the PIP carrier. Once there, you will be required to fill out paperwork as if you were a new patient of the facility. You will then meet with the selected examiner, who will proceed with taking a medical history and asking questions about your injuries and treatment, based upon information derived from the medical records provided by the insurance company. the doctor will then conduct a physical examination, the sufficiency and accuracy of which is often suspect. At the conclusion of the examination, you will be dismissed, and the examiner proceeds with preparing the report, most often without sharing the findings or conclusions with you. Nonetheless you must wait until the PIP carrier contacts them by which time several weeks may have gone by. PIP benefits may be denied retroactively.
How should I Prepare for a PIP "IME?"Here are some simple tips that will help you get through your PIP IME.
1. Be prepared. You should have a general understanding of your medical treatment and injuries since the accident.
2. Be believable. You do not have to convince the doctor that you were really hurt. However, coming across as truthful and honest, without exaggerating symptoms, will lend credence to your case.
3. Focus on what is being asked. This is not a social visit, and you are not having a friendly chat. This is a medical professional, being paid by the insurance company, and looking for a reason to terminate your PIP benefits.
4. Watch out for traps. They examining doctor may say "This hurts right?" when in fact they know it does not hurt. they want to see if you are exaggerating your pain complaints.
If you are being sent for PIP IME, contact an attorney at Graham Lundberg & Peschel. There are strategies and procedures that may be put into place to assure continued PIP benefits.