Definition of Agreed Medical Evaluation
An Agreed Medical Evaluation, also known as AME, is an evaluation that is made by a provider who is selected by an agreement between an injured worker's attorney and the insurance company's claims administrator and their attorney. A medical examination is conducted, and a medical-legal report is prepared to help resolve a dispute. The Agreed Medical Evaluation is also used to apportion the workers' compensation claim. In other words, the evaluation will be used to determine what portion of your work-related injury was responsible for your disability, and what, if any, portions came from other causations or sources.
An Agreed Medical Evaluation is performed by an Agreed Medical Evaluator (AME). An AME is a doctor who has had additional training in workers' compensation requirements and work-related injuries. Again, this is a provider who is agreed upon to do the evaluation by an injured worker's attorney and the insurance company's claims administrator and their attorney. If you do not have an attorney, a Qualified Medical Evaluator (QME) is who will conduct the evaluation for the purpose of resolving a dispute between you and your employer's insurance company. The examination is supposed to be an impartial, unbiased examination. However, there are many who believe that insurance companies often use doctors who will make evaluations that will help them to deny a claim. This is an important reason why you, as an injured worker, should be represented by a workers' compensation attorney if you are required to have an AME.