The Independent Medical Exam in Pennsylvania: What to Expect
The defense may send you to their doctor. Despite the name, this exam often serves their interests. Here's how Pennsylvania's rules work and how to protect yourself.
Short answer: An Independent Medical Examination (IME) is arranged by the insurer or defense and performed by a doctor they choose. Once you file suit in Pennsylvania, the court can order one under Pa.R.C.P. 4010. It is rarely neutral, so preparation matters.
What happens during an IME?
The doctor reviews your records, asks about your symptoms, and performs a physical exam, then writes a report — one that frequently minimizes your injuries or attributes them to a pre-existing condition.
How should I prepare for a Pennsylvania IME?
- Be accurate: Don't exaggerate, but don't downplay your symptoms either.
- Bring a witness: Ask your attorney whether you may bring someone to observe.
- Document it: Note how long the exam lasted, what was tested, and what you were asked.
- Stay on point: Answer questions directly without volunteering extra information.
Can I refuse an IME in Pennsylvania?
Once you have filed a lawsuit, a Pennsylvania court can compel you to attend under the Rules of Civil Procedure. In the pre-suit insurance phase, your policy and the situation control. Consistent treatment protects you here — see why gaps in treatment hurt your case. Your attorney can advise on your specific obligations; start by organizing your claim.
This is general information about Pennsylvania law, not legal advice for your specific claim.
Frequently asked questions
Is an IME really independent?
Not usually. The examining doctor is selected and paid by the insurer or defense, and IME reports frequently minimize the claimant's injuries.
Can a Pennsylvania court order me to attend an IME?
Yes. After you file a lawsuit, a court can compel an IME under Pennsylvania Rule of Civil Procedure 4010.