Understanding QME vs. AME: What Clients of Dependable Diamond Transportation Should Know

When dealing with medical evaluations during a workers' compensation claim or legal case, the terms QME and AME often arise. For many, understanding the difference between these evaluations can be confusing. Knowing the details can help clients prepare for appointments and manage expectations.

What is a QME?

A Qualified Medical Evaluator (QME) is a doctor certified by the Division of Workers' Compensation (DWC) in California to evaluate medical conditions related to workers' compensation claims. When there is a dispute about a work-related injury, a QME provides an unbiased medical opinion. A QME is typically selected when a client or insurance company disagrees about the cause of an injury, its severity, or the treatment needed.

A QME appointment is often ordered by the state’s workers' compensation system. The party requesting the evaluation—such as a workers' compensation attorney or an insurance carrier—chooses from a list provided by the DWC.

What is an AME?

An Agreed Medical Evaluator (AME), on the other hand, is a doctor agreed upon by both the insurance company and the injured worker’s attorney. An AME is often utilized when legal representation is involved, and both parties agree to rely on a single medical professional for an evaluation.

What to Expect During an Appointment

Whether visiting a QME or AME, the experience is similar. The doctor conducts a comprehensive review of the client’s medical history and performs a physical examination. Additional diagnostic tests, such as X-rays or MRIs, may be ordered if necessary. The purpose of the evaluation is to assess the extent of the injury and its impact on work and daily life.

Appointments can last anywhere from 30 minutes to several hours, depending on the complexity of the case. It is important to bring all requested medical records, identification, and any relevant paperwork to ensure the process runs smoothly.

♥ A Dependable Gem ♥

At Dependable Diamond Transportation, we understand that medical evaluations like QME and AME are critical milestones in a client’s recovery journey or legal process. These appointments often come with stress and require precision, preparation, and focus. That’s why we go beyond being a transportation service to become a dependable partner, prioritizing accessibility and care for both ambulatory and wheelchair clients. By ensuring timely arrival and providing comfort throughout the journey, we simplify the process and offer peace of mind, making every client’s experience smooth, supportive, and stress-free.